Blanca M Velazquez-Martin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010722 Issued in PA

Practice address

210 Mall Blvd Ste 204
King of Prussia, PA 19406-3260

Phone

(484) 808-5340

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mhmo, Inc.

  • Clinical Psychologist
  • Plymouth Meeting, PA
  • NPI 1023067139
  NPD

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1659934362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALL BLVD STE 204",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALL BLVD STE 204",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063260",
            "telephone_number": "484-808-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ-MARTIN",
        "first_name": "BLANCA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Cmsounsel.com",
            "affiliation": "N",
            "address_1": "210 Mall Blvd Ste 204",
            "city": "King Of Prussia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194063260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John P Van Dusen, PH.D.
• Portia Van Sant, PSY.D
• Vascular Medicine Center
• Elizabeth Vaughan, MS, BCBA
• Lisa Veitz
• Verify Diagnostics LLC
• Peter M Vernig, PHD
• Deanna Vicario
• Nikaury Villar
• Vision Perfect LLC

• Professional Counselor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.