Blueprint Interventions Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUEPRINT INTERVENTIONS GROUP

Practice address

611 Lakewater Estates LN
Stone Mountain, GA 30087-4999

Phone

(404) 931-5738

Fax

(404) 882-6281

NPI assigned

Dec 21, 2023

Organization subpart

No

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

Authorized official

Name

Lakeya Nesbit-Gaither

Title

Ceo

Phone

(404) 981-5248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1619746351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870603",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870016",
            "telephone_number": "404-931-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LAKEWATER ESTATES LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874999",
            "telephone_number": "404-931-5738",
            "fax_number": "404-882-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT INTERVENTIONS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "NESBIT-GAITHER",
        "authorized_official_first_name": "LAKEYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-981-5248"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.