Katherine Blair, LMFT-ASSOCIATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

205312 Issued in TX

Practice address

1616 5TH Ave
Fort Worth, TX 76104-4324

Phone

(510) 295-3802

NPI assigned

Jun 1, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1174364533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 PINON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169057",
            "telephone_number": "510-295-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 5TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044324",
            "telephone_number": "510-295-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "KATHERINE",
        "credential": "LMFT-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Leigh Blackwood, LCSW
• Payton Haylie Blackwood, DOULA, PPD, CBE
• Chelsea Sue Blair, RN
• Emily Elizabeth Blair, LPC
• George Mitchell Blair Jr., MED
• Kelly G Blair, DDS
• Mary M Blair, CCC-SLP
• Roger S Blair, M.D.
• Susan B Blair, LCSW
• Lauren Blais, PTA

• Marriage & Family Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.