Organization Active NPI

Blackstone Counseling PLLC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1538873989
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Ms. Desiree Alana Evans, LCMHCANPI 1548921828
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.