Blanca Palacios, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89451 Issued in TX

Practice address

5955 Alpha Rd # 1392
Dallas, TX 75240-1121

Phone

(469) 423-5671

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Blanca Gross Former name

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 and National Provider Directory roles.

• Specialized Alternatives for Families and Youth of Nevada, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1962595348

  Rehabilitation Practitioner

  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1598040735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ALPHA RD # 1392",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401121",
            "telephone_number": "469-423-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ALPHA RD # 1392",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401121",
            "telephone_number": "469-423-5671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4285 N Rancho Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303446",
            "country_code": "US",
            "telephone_number": "702-385-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "BLANCA",
        "name_prefix": "Mrs.",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89451",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "GROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adarsh Pakanati, M.D.
• Nagehan Pakasticali, MD
• Uma B.R.K Pakkivenkata, M.D.
• Natalia Angela Palacio, MD
• Ariella Palacios
• Elizabeth Anne Palacios, M.D.
• Luis Palacios, MD
• Marty R Palacios, BA
• Nadia Isela Palacios, SLPA
• Nancy Palacios, APRN, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.