Active NPI
Blair Counseling Services
- Clinical Social Worker
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BLAIR COUNSELING SERVICES
- Practice address
- 2112 Erie Blvd E
Syracuse, NY 13224-1041 - Phone
- (315) 813-7062
- Fax
- (315) 813-7067
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Allen Blair, LCSW-R
- Title
- Owner
- Phone
- (315) 813-7062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2112 Erie Blvd E
Syracuse, NY 13224-1041
Mailing address
2112 Erie Blvd E
Syracuse, NY 13224-1041
Phone (315) 813-7062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22267 | Other | NY | LICENSE NUMBER |
| 5193719565 | Other | PECOS I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2112 Erie Blvd E
Syracuse, NY 13224
Phone (315) 813-7062
6493 Ridings Rd
Ste 115
Syracuse, NY 13206
Phone (315) 813-7062
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Auburn, NY
- NPI 1114075884
-
- Clinical Psychologist
- Liverpool, NY
- NPI 1235177783
-
- Clinical Social Worker
- Morrisville, NY
- NPI 1598891442
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1730263674
-
- Clinical Social Worker
- Auburn, NY
- NPI 1023111366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1275251217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 ERIE BLVD E",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241041",
"telephone_number": "315-813-7062",
"fax_number": "315-813-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 ERIE BLVD E",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241041",
"telephone_number": "315-813-7062",
"fax_number": "315-813-7067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLAIR COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-813-7062",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "22267",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PECOS I.D.",
"identifier": "5193719565",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.