Blank Slate Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68617 Issued in TX

Legal business name

BLANK SLATE THERAPY

Practice address

5899 Preston Rd Ste 404
Frisco, TX 75034-9590

Phone

(214) 618-0588

Fax

(877) 345-4565

NPI assigned

Feb 23, 2016

Last updated

Jul 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelita Barrientos

Title

Billing Admin

Phone

(214) 232-6369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priscilla Jade Bartsch, MA, LPC, RPT, NCC

  • Mental Health Counselor
  • Frisco, TX
  • NPI 1376280065

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• James Bishop, LPC

  • Professional Counselor
  • Frisco, TX
  • NPI 1245737691
  Medicare reassignment Care Compare group NPD
• Christine N Charles, LPC

  • Professional Counselor
  • McKinney, TX
  • NPI 1508103581
  Medicare reassignment Care Compare group NPD
• Dayjha Cheatham Keith

  • Professional Counselor
  • Lewisville, TX
  • NPI 1134840002
  Medicare reassignment Care Compare group NPD
• Javier Davila-Lopez, LPC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1871033746
  Medicare reassignment Care Compare group NPD
• Jaclyn Holly Harlow, LPC

  • Counselor
  • Frisco, TX
  • NPI 1922251164
  Medicare reassignment Care Compare group NPD
• Jennifer Loeravasquez

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1104254853
  Medicare reassignment Care Compare group NPD
• Dianna Nickel, LPC

  • Counselor
  • Flower Mound, TX
  • NPI 1669851762
  Medicare reassignment Care Compare group NPD
• Judy Lee Rambur, PSYD RPT

  • Clinical Psychologist
  • Rockwall, TX
  • NPI 1871522094
  Medicare reassignment Care Compare group NPD
• Leslie Shannon Wood, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1194158071
  Medicare reassignment Care Compare group NPD
• Philip Michael Wright, MS, LPC

  • Professional Counselor
  • McKinney, TX
  • NPI 1881263887
  Medicare reassignment Care Compare group NPD
• Jessica Carr

  • Clinical Social Worker
  • Dubuque, IA
  • NPI 1699349589

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1639539364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 404",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349590",
            "telephone_number": "214-618-0588",
            "fax_number": "877-345-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 404",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349590",
            "telephone_number": "214-618-0588",
            "fax_number": "877-345-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Kimball Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760921525",
            "country_code": "US",
            "telephone_number": "214-618-0588",
            "fax_number": "877-345-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 State Highway 121 Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750567085",
            "country_code": "US",
            "telephone_number": "214-618-0588",
            "fax_number": "877-345-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8751 Collin McKinney Pkwy Ste 502",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701853",
            "country_code": "US",
            "telephone_number": "214-618-0588",
            "fax_number": "877-345-4565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLANK SLATE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "ANGELITA",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "214-232-6369"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Blanchone, OTR
• Mark E Blanck, DC
• Tricia Mari G Blanco-Pascual, MSN FNP-C
• Isabel Blanco, LPC ASSOCIATE
• Matthew Bland, FNP
• Faith Blankenship, N.P.
• Derrick K Blanton, PYSD
• Kiana Blas
• Lilyan Blatt, D.O.
• Blessed to Serve Medical Transportation Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.