Individual provider Active NPI

Gretchen Anne Blevins, LPC

  • Professional Counselor
  • Cedar Bluff, VA
National Provider Identifier
1093279846
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008138 Issued in VA
Practice address
196 Cumberland Rd
Cedar Bluff, VA 24609-1137
Phone
(276) 964-6702
NPI assigned
Jan 25, 2019
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008138 VA Primary

Addresses

Primary practice location

196 Cumberland Rd
Cedar Bluff, VA 24609-1137

Mailing address

196 Cumberland Rd
Cedar Bluff, VA 24609-1137
Phone (276) 964-6702

Other practice location 1

78 Rogers Street
Lebanon, VA 24266
Phone (276) 964-6702

Other practice location 2

1014 Stillhouse Hollow Road
Grundy, VA 24614
Phone (276) 964-6702

Other practice location 3

578 Main Street
Tazewell, VA 24651
Phone (276) 964-6702

Other practice location 4

113 Cumberland Road
Cedar Bluff, VA 24609-0810
Phone (276) 964-6702

Other names 1

  • Gretchen Anne Baldwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701008138VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Mountain Community Services PastSince May 5, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1093279846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CUMBERLAND RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246091137",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CUMBERLAND RD",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246091137",
            "telephone_number": "276-964-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Rogers Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "24266",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Stillhouse Hollow Road",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "24614",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "578 Main Street",
            "address_purpose": "LOCATION",
            "city": "Tazewell",
            "state": "VA",
            "postal_code": "24651",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Cumberland Road",
            "address_purpose": "LOCATION",
            "city": "Cedar Bluff",
            "state": "VA",
            "postal_code": "246090810",
            "country_code": "US",
            "telephone_number": "276-964-6702",
            "fax_number": "276-964-0292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "GRETCHEN",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "BALDWIN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Bluff, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.