Debra Diane Blaszak, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60399333 Issued in WA

Practice address

540 N Broadway St
Tekoa, WA 99033-9636

Phone

(509) 720-6731

NPI assigned

Dec 19, 2014

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1689072860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 E SPRAGUE AVE # 301",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064397",
            "telephone_number": "509-720-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N BROADWAY ST",
            "city": "TEKOA",
            "state": "WA",
            "postal_code": "990339636",
            "telephone_number": "509-720-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASZAK",
        "first_name": "DEBRA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60399333",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC07681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Martin
• Melissa Anne Osborne
• Peter J Martin (Tekoa Rural Health Clinic)
• Peter J. Martin (Tekoa Medical Clinic)
• Patricia L Primmer

• Mental Health Counselor in Tekoa, WA
• Providers in Tekoa, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.