Active NPI
Blair Warren, LPC-A
- Professional Counselor
- Longview, TX
National Provider Identifier
1164202941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3118 H G Mosley Pkwy
Longview, TX 75605-2941 - Phone
- (903) 200-1433
- Fax
- (903) 405-4047
- NPI assigned
- Sep 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Mailing address
3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 200-1433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kranz Psychological Services, PLLC | Professional | Current | Accepting new patients |
| Counseling Services, PLLC | Professional | Current | Accepting new patients |
Locations
3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433
Organizations & group practices 2
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": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1164202941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 H G MOSLEY PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052941",
"telephone_number": "903-200-1433",
"fax_number": "903-405-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 H G MOSLEY PKWY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052941",
"telephone_number": "903-200-1433",
"fax_number": "903-405-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "BLAIR",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.