Bennie Lee Blevins, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

802 Clare Ave
Portsmouth, OH 45662-2583

Phone

(740) 876-8449

Fax

(888) 966-0381

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1639803190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 14TH ST APT D",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "740-876-8449",
            "fax_number": "888-966-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "BENNIE",
        "middle_name": "LEE",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Paige Blake
• Erica Blake
• Vaughn Blanken, CDCA
• Brooklyn Blanton
• Peggy Blanton
• Chuckie Dean Blevins, CDCA
• Jessica Blevins
• Jessica Blevins
• Jonathan Blevins, CDCA
• Roxanna Blevins

• Addiction (Substance Use Disorder) Counselor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.