Active NPI
Carmina Blasko, MA, LPC
- Professional Counselor
- Monument, CO
National Provider Identifier
1356601637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0012348
- Practice address
- 77 3Rd St Ste 400
Monument, CO 80132-8179 - Phone
- (719) 259-4951
- NPI assigned
- May 21, 2012
- Last updated
- Feb 20, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0012348 | CO | Primary |
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 1
- Carmina Marquez
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24Lincoln, LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Professional | 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
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1356601637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10537 KELOWNA VW",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084520",
"telephone_number": "719-650-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 3RD ST STE 400",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328179",
"telephone_number": "719-259-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASKO",
"first_name": "CARMINA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0012348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMINA",
"last_name": "MARQUEZ",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.