Individual provider Active NPI

Nancy Jane Bledsoe-Link, MA, LPC, LCDC

  • Professional Counselor
  • Flower Mound, TX
National Provider Identifier
1104301043
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74740 Issued in TX
Practice address
2560 Central Park Ave Ste 200
Flower Mound, TX 75028-1566
Phone
(940) 289-4569
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 74740 TX Primary

Addresses

Primary practice location

2560 Central Park Ave Ste 200
Flower Mound, TX 75028-1566

Mailing address

1480 Juniper LN
Lewisville, TX 75077-2840
Phone (972) 951-7000

Other practice location 1

1410 Robinson Rd Ste 400
Corinth, TX 76210-2848
Phone (972) 523-0000 ext. 103

Other names 1

  • Ms. Nancy Jane Bledsoe 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
74740TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fancy Robot Current Accepting new patients
Greer & Associates Family Services, PLLC Past Accepting new patients
Greer & Associates Family Services, PLLC Professional Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1104301043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 JUNIPER LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772840",
            "telephone_number": "972-951-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "940-289-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Robinson Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "TX",
            "postal_code": "762102848",
            "country_code": "US",
            "telephone_number": "972-523-0000 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE-LINK",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BLEDSOE",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.