Jennifer Blount, LPCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CCMH0221351 Issued in NM

Practice address

6100 Seagull St NE Ste B205
Albuquerque, NM 87109-2500

Phone

(505) 312-8324

Fax

(505) 856-7946

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration Counseling and Consulting Services LLCGroup PAC ID 0840640819, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Restoration Counseling and Consulting Services LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1669132411

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1144788191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092500",
            "telephone_number": "505-312-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092500",
            "telephone_number": "505-312-8324",
            "fax_number": "505-856-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JENNIFER",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0201981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0221351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Tree ABA, LLC
• Blossom ABA Therapy NM LLC
• Cheryl Lynne Blossom, MSW
• Karen Blossom, PA-C
• Audrey Blotz, PA-C
• Quinton Elijah Blount, MD
• Bruce Blowers, L.M.T.
• Blue Fox Wellness LLC
• Blue Gems ABA Therapy NM LLC
• Blue Hive New Mexico LLC

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.