David Lee Blair, LCSW, CACIII

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

986003 Issued in CO

Practice address

4891 Independence St
Suite 165
Wheat Ridge, CO 80033-6752

Phone

(303) 456-0600

Fax

(303) 456-0607

NPI assigned

Dec 30, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver Family Therapy Center IncGroup PAC ID 9133435951, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Denver Family Therapy Center Inc

  • Substance Abuse Rehabilitation Facility
  • Wheat Ridge, CO
  • NPI 1740364793

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Denver Family Therapy Center Inc

  • Community/Behavioral Health Agency
  • Wheat Ridge, CO
  • NPI 1770451650
  NPD

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1346486065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST",
            "address_2": "SUITE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336752",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 INDEPENDENCE ST",
            "address_2": "SUITE 165",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336752",
            "telephone_number": "303-456-0600",
            "fax_number": "303-456-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "LCSW, CACIII",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "986003",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janell Marie Bixby, BS
• Sonja Bjelland, DNP
• Amy Frances Blackman, MCJ
• Jamie Lee Blair Echevarria, LCSW, LMFT, CACIII
• Colleen Blair Michel, PMHNP
• Brent Blake
• Jenna Marie Blakely
• Bridget M Blasius, MA, LPC
• Andrea Joanne Blevins, MS
• Bloom Healthcare

• Mental Health Counselor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.