Bridget M Blasius, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0014956 Issued in CO

Practice address

3954 Youngfield St
Wheat Ridge, CO 80033-3865

Phone

(303) 995-8512

Fax

(720) 328-0769

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Willow Tree Counseling Services LLC

  • Mental Health Counselor
  • Wheat Ridge, CO
  • NPI 1558837427
  Medicare reassignment NPD Authorized official
• Willow Tree Counseling Services LLC

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1942808712
  NPD Authorized official

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1114341104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "303-995-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333865",
            "telephone_number": "303-995-8512",
            "fax_number": "720-328-0769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025031",
            "country_code": "US",
            "telephone_number": "303-995-8512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASIUS",
        "first_name": "BRIDGET",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0014956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Blair Echevarria, LCSW, LMFT, CACIII
• Colleen Blair Michel, PMHNP
• David Lee Blair, LCSW, CACIII
• Brent Blake
• Jenna Marie Blakely
• Andrea Joanne Blevins, MS
• Bloom Healthcare
• Bloom Pediatric Speech Therapy
• Blueprint Therapy LLC
• Julie Blumenfeld, MA, LPC, LACC

• Mental Health Counselor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.