Patricia A Blakeslee, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1102 Issued in FL

Practice address

430 Braddock Ave
Presbyterian Counseling Center
Daytona Beach, FL 32118-4616

Phone

(386) 258-1616

Fax

(386) 253-4215

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Presbyterian Counseling Center Inc

  • Voluntary or Charitable Agency
  • Deland, FL
  • NPI 1023277571
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427090950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 LINCOLN AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692535",
            "telephone_number": "386-562-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BRADDOCK AVE",
            "address_2": "PRESBYTERIAN COUNSELING CENTER",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184616",
            "telephone_number": "386-258-1616",
            "fax_number": "386-253-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Bischoff
• Adrienne Bishop
• Harry H Black, MD
• Paul Anthony Blackwood, MD
• Paula Jeanne Blais, ARNP-C
• Rachel E Blalock, MED CCC-SLP
• Harry Herman Blanke III, MD
• Robert Blannett, CRNA
• Yohancie Blas, MD
• Lily Blascoa Blascoa-Ritterbeck, M.D.

• Marriage & Family Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Marriage & Family Therapist in Florida

• 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.

Verify at the official NPI Registry.