Blair Joseph A'Hearn, M.DIV., M.A., LMHC
Individual provider Active NPI Mental Health Counselor · Cedar Rapids, IA
NPI 1669721825 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1669721825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001551 (IA)
- Practice address
- 1501 Parkwood LN NE
Cedar Rapids, IA 52402-1027 - Phone
- (319) 899-3913
- NPI assigned
- Sep 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001551 | IA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001551 | IA | Yes |
Addresses
Primary practice location
1501 Parkwood LN NE
Cedar Rapids, IA 52402-1027
Mailing address
1501 Parkwood LN NE
Cedar Rapids, IA 52402-1027
Phone (319) 899-3913
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All providers in Cedar Rapids, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.