Steve Blahitka, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

20196A Issued in NC

Practice address

11020 S Tryon St Ste 408
Charlotte, NC 28273-6662

Phone

(980) 236-1660

NPI assigned

May 13, 2024

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raymond Castillo, PLLC

  dba Living Life Wellness Center

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1477221786

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1174371256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 S TRYON ST STE 408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736662",
            "telephone_number": "980-236-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 S TRYON ST STE 408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736662",
            "telephone_number": "980-236-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHITKA",
        "first_name": "STEVE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29753",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20196A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatoya Blackwell
• Staci Blackwell, AU.D.
• Terri Elizabeth Blackwell, MD
• Olive Bear Blackwood, LMFTA
• Bladder Behavior, PLLC
• Ann Nicole Blaine-Coambs, DDS
• Blair Clinical Services PLLC
• Kristie Lynn Blair-Rutherford, ARNP
• Amber Marie Blair, PA
• Angela Michelle Blair, P.T.

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.