Carmina Blasko, MA, LPC
Individual provider Active NPI Professional Counselor · Monument, CO
NPI 1356601637 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1356601637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC.0012348 (CO)
- Practice address
- 77 3Rd St Ste 400
Monument, CO 80132-8179 - Phone
- (719) 259-4951
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000332 | CO | Practitioner - Mental Health Counselor | 0244676401 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Professional | Current |
Accepting new patients |
| 24Lincoln, LLC | Current |
Accepting new patients | |
| Family Care Center, LLC | Current |
Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
9362 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 345-0429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012348 | CO | Yes |
Addresses
Primary practice location
77 3Rd St Ste 400
Monument, CO 80132-8179
Mailing address
10537 Kelowna VW
Colorado Springs, CO 80908-4520
Phone (719) 650-3921
Other names
- Carmina Marquez
Other providers in Monument, CO
- Roberta Dee Benz
- Kristin Johanna Berg
- Karen M. Bethke
- Kaitlyn Marie Blakesley
- Stacy M Blang
- Candace Bolz
- Terri Bone
- Jenna Elizabeth Boone
- Tamela Jean Boulter
- Alexi Bowles
All providers in Monument, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.