Individual provider Active NPI

Alyana Blythe, LACMH

  • Professional Counselor
  • Middletown, DE
National Provider Identifier
1629617303
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0011126 Issued in DE
Practice address
115 N Broad St Ste 1
Middletown, DE 19709-1045
Phone
(302) 781-3104
Fax
(888) 977-1773
NPI assigned
Dec 30, 2019
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AC-0000284 DE
Professional Counselor 101YP2500X PC-0011126 DE Primary

Addresses

Primary practice location

115 N Broad St Ste 1
Middletown, DE 19709-1045

Mailing address

11 Villas Dr Apt 5
New Castle, DE 19720-2808
Phone (302) 229-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC-0000284DEMDMental Health Counselor
PC-0011126DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Mind Counseling Center PastSince Jul 8, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1629617303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VILLAS DR APT 5",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202808",
            "telephone_number": "302-229-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N BROAD ST STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091045",
            "telephone_number": "302-781-3104",
            "fax_number": "888-977-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "ALYANA",
        "credential": "LACMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "AC-0000284",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

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