Krista Blare, MA, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A21210 Issued in NC

Practice address

5970 Fairview Rd Ste 126
Charlotte, NC 28210-2100

Phone

(704) 762-1361

NPI assigned

Mar 24, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Bridges Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1306350012

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1578364600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S COLLEGE ST UNIT 2415",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034671",
            "telephone_number": "480-710-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102100",
            "telephone_number": "704-762-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLARE",
        "first_name": "KRISTA",
        "credential": "MA, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Blankenship
• Michelle Blankenship, LMFTA
• Terri Lynne Blankenship, FNP
• Brittany Blanton, RDH
• David Lee Blanton, OD
• Emma Blaskewicz
• Sydney Blasy
• Adam Zachary Blatt
• Jordan L Blaz
• Natalie Blazejewski

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.