Mackensie N/a Blu, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

260 Issued in TN

Practice address

826 Memorial Ave
Mackensie Blu
Murfreesboro, TN 37130

Phone

(615) 542-5068

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1437467016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX95",
            "address_2": "MACKENSIE BLU",
            "city": "WOODBURY AVE",
            "state": "TN",
            "postal_code": "37190",
            "telephone_number": "615-542-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MEMORIAL AVE",
            "address_2": "MACKENSIE BLU",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-542-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLU",
        "first_name": "MACKENSIE",
        "middle_name": "N/A",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "260",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "260",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "260",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "260",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TN",
            "license": "260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald S. Blockley, DMD
• Elena Bloodgood, PSY.D.
• Linda Capps Bloodworth, PT
• Bloom Care Partners LLC
• Darci D Bloss, LPC, LCPC, LPC-MHSP,
• Bluegrass Dental, PLLC
• Pyke Bobo, CRNA
• Elise Howorth Bobrowski, FNP-C
• Susan Virginia Bock, MT-BC
• Alyssa Raine Bogle-Smith

• Marriage & Family Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.