Active NPI
Vincent Blair, LMFT, RAS
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1497937775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51015
- Practice address
- 3147 N Millbrook Ave
Fresno, CA 93703-1425 - Phone
- (559) 600-6742
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | B0511170433 | CA | |
| Marriage & Family Therapist | 106H00000X | 51015 | CA | Primary |
Addresses
Primary practice location
3147 N Millbrook Ave
Fresno, CA 93703-1425
Mailing address
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-6742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B0511170433 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 51015 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1497937775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3147 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031425",
"telephone_number": "559-600-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "VINCENT",
"credential": "LMFT, RAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "B0511170433",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.