Jasmine Dominique Blue, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68068 Issued in TX

Practice address

501 Murphy Rd Ste 400
Stafford, TX 77477-5417

Phone

(281) 969-8040

NPI assigned

Aug 15, 2012

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

Enrolled in TX, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enlightened Souls, PLLC

  • Professional Counselor
  • Stafford, TX
  • NPI 1063802908

  GA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548518079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15818 WHITEGLADE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846800",
            "telephone_number": "713-539-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MURPHY RD STE 400",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775417",
            "telephone_number": "281-969-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3726 Bent Springs Ln",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774498142",
            "country_code": "US",
            "telephone_number": "713-539-5727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "JASMINE",
        "middle_name": "DOMINIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Black
• Kelley Black
• Blessed Healthcare Inc
• Blissful Healthcare Services, Inc.
• Macanda Hinchey Block, M.S. CCC-SLP
• Bluebonnet Autism PLLC
• Maritza Bohorquez-Ortega
• Eboni T Boice
• Nyela Simone Bolden, LMSW
• Vallery Bolden

• Professional Counselor in Stafford, TX
• Providers in Stafford, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.