Envision Solutions Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENVISION SOLUTIONS THERAPY

Practice address

4492 Middletown Dr
Wake Forest, NC 27587-4187

Phone

(910) 580-0594

NPI assigned

Mar 17, 2026

Organization subpart

No

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

Authorized official

Name

Samantha Loraine Blanco, LCSWNPI 1770176240

Title

Licensed Clinical Social Worker

Phone

(910) 580-0594

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Loraine Blanco, MSW, BSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1770176240
  NPD Authorized official

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1134077076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275880549",
            "telephone_number": "910-580-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 MIDDLETOWN DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874187",
            "telephone_number": "910-580-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION SOLUTIONS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "910-580-0594",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.