Active NPI
Swany Blanco, COUNSELOR
- Counselor
- Fayetteville, NC
National Provider Identifier
1346305331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- NCLPC4305
- Practice address
- 804 Stamper Rd
Suite 101
Fayetteville, NC 28303-4379 - Phone
- (910) 323-2873
- Fax
- (910) 323-1355
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NCLPC4305 | NC | Primary |
Addresses
Primary practice location
804 Stamper Rd
Suite 101
Fayetteville, NC 28303-4379
Mailing address
804 Stamper Rd
Suite 101
Fayetteville, NC 28303-4379
Phone (910) 323-2873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCLPC4305 | Other | NC | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCLPC4305 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raintree Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1124172499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346305331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 STAMPER RD",
"address_2": "SUITE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034379",
"telephone_number": "910-323-2873",
"fax_number": "910-323-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 STAMPER RD",
"address_2": "SUITE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034379",
"telephone_number": "910-323-2873",
"fax_number": "910-323-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "SWANY",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "NCLPC4305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "NCLPC4305",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.