Individual provider Active NPI

Marisa Jordan Blashford, MS, NCC

  • Counselor
  • Monroeville, PA
National Provider Identifier
1659016343
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2571 Mosside Blvd Ste 4
Monroeville, PA 15146-3576
Phone
(724) 755-3737
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2571 Mosside Blvd Ste 4
Monroeville, PA 15146-3576

Mailing address

2571 Mosside Blvd Ste 4
Monroeville, PA 15146-3576
Phone (724) 755-3737

Other practice location 1

1000 Belmont Blvd Apt 205
Monroeville, PA 15146-5322
Phone (412) 736-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003010 PA Practitioner - Mental Health Counselor 8729421532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

4055 Monroeville Blvd
Ste 300
Monroeville, PA 15146
Phone (412) 414-9916

2571 Mosside Blvd
Ste 4
Monroeville, PA 15146
Phone (412) 856-4171

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1659016343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 MOSSIDE BLVD STE 4",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463576",
            "telephone_number": "724-755-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 MOSSIDE BLVD STE 4",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463576",
            "telephone_number": "724-755-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Belmont Blvd Apt 205",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151465322",
            "country_code": "US",
            "telephone_number": "412-736-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASHFORD",
        "first_name": "MARISA",
        "middle_name": "JORDAN",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.