Kristin D Blecha, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC5772 Issued in CA

Practice address

1411 Marsh St Ste 108
San Luis Obispo, CA 93401-2967

Phone

(805) 459-5115

NPI assigned

May 15, 2021

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

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1699349530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934240574",
            "telephone_number": "805-459-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARSH ST STE 108",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012967",
            "telephone_number": "805-459-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHA",
        "first_name": "KRISTIN",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC5772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kblecha@windhorseimh.org",
            "affiliation": "N",
            "endpointDescription": "windhorse",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clients",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1411 Marsh St Ste 108",
            "city": "San Luis Obispo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934012967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Blair
• Hayley Blakemore
• Trina Blanchette
• Eric Blanco
• Adam Skye Blank, DO
• Marta Beth Block, MS
• Jeffrey M Bloom, MD
• Mary Coleen Blout
• Bryce Jeffrey Blue, O.D.
• Daphne L. Boatright, RN MED

• Mental Health Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.