Anthony Jerome Blalock Jr., B.S. QMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

210 Lily Way Apt 3B
Petersburg, VA 23805-9161

Phone

(757) 770-8214

NPI assigned

Jan 12, 2018

Last updated

Jan 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Science

Practice roles

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.

• Next Steps Consulting, Inc

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1295617546
  NPD Authorized official
• Qlife

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
  • NPI 1558947531
  NPD Authorized official
• Mountain of Grace Counseling Group, LLC

  • Case Management Agency
  • Minden, LA
  • NPI 1497664064
  Authorized official Same address or phone

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1184132151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LILY WAY APT 3B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059161",
            "telephone_number": "757-770-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LILY WAY APT 3B",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059161",
            "telephone_number": "757-770-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "B.S. QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bey & Associates LLC (Child, Parent & Family Institute)
• Nitika Tyann Bey, LCSW
• Bilal Group LLC
• Taji Ameerah Billups
• Krysten M Bishop, PA
• Russell Bland
• Blessed Up Transportation LLC
• Tameka Blount-Brown
• Blue Comfort Dental PC
• Brenna B Bohatec, FNP

• Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.