Guadalupe Blas III, LPCC
Individual provider Active NPI Professional Counselor · Evarts, KY
NPI 1275470718 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1275470718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 297004 (KY)
- Practice address
- 7167 Highway 38
Evarts, KY 40828-6331 - Phone
- (606) 795-5443
- NPI assigned
- May 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297004 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discreet Therapy Services LLC. | Professional | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 297004 | KY | Yes |
Addresses
Primary practice location
7167 Highway 38
Evarts, KY 40828-6331
Mailing address
7167 Highway 38
Evarts, KY 40828-6331
Phone (606) 795-5443
Other providers in Evarts, KY
- Melanie Buchanan-Manning
- Clover Fork Outpatient Medical Project Inc
- Clover Fork Outpatient Medical Project Inc
- Sharon M Colton
- Cumberland Valley Dist. Health Dept.
All providers in Evarts, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.