Active NPI
Blackstone Counseling PLLC
- Mental Health Counselor
- Cary, NC
National Provider Identifier
1538873989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BLACKSTONE COUNSELING PLLC
- Practice address
- 405 Madison Ave
Cary, NC 27513-4402 - Phone
- (703) 403-2318
- NPI assigned
- Jan 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Desiree Alana Evans, LCMHCA
- Title
- Owner
- Phone
- (703) 403-2318
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
405 Madison Ave
Cary, NC 27513-4402
Mailing address
405 Madison Ave
Cary, NC 27513-4402
Phone (703) 403-2318
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Durham, NC
- NPI 1548921828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673308800000",
"number": "1538873989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MADISON AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275134402",
"telephone_number": "703-403-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MADISON AVE",
"city": "CARY",
"state": "NC",
"postal_code": "275134402",
"telephone_number": "703-403-2318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKSTONE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DESIREE",
"authorized_official_middle_name": "ALANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-403-2318",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCMHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.