Kristin Blow, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1038 Issued in NC

Practice address

3000 Bethesda PL Ste 202
Winston Salem, NC 27103

Phone

(252) 751-0518

Fax

(252) 565-4505

NPI assigned

Sep 27, 2017

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Managing Overwhelming Moments, LLC

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1003455205
  NPD Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1548779101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Dunhagan Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278586640",
            "country_code": "US",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOW",
        "first_name": "KRISTIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Blodgett, MSN, RN, ACNP
• Bloom Counseling and Consulting PLLC
• Chance Huntsman Bloomer, MD
• Richard Seth Bloomfeld, MD
• Robert Lee Bloomfield, MDMS
• Blu Jaae Counseling Services
• Blue Gems ABA NC LLC
• Blue Orchid Healthcare Services, LLC
• Blue Ridge Hearing, Inc (miracle-ear)
• Blue State Wellness and Recovery

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.