Blythe LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLYTHE LLC

Practice address

6708 Vista Luces St NW
Albuquerque, NM 87120-7067

Phone

(505) 264-9289

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Mr. William K Blythe, LPCC

Title

Agent/Sole Member

Phone

(505) 264-9289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1700601697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 VISTA LUCES ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207067",
            "telephone_number": "505-264-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 VISTA LUCES ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207067",
            "telephone_number": "505-264-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLYTHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AGENT/SOLE MEMBER",
        "authorized_official_telephone_number": "505-264-9289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blumberg
• Leslie Sherry Blumenstock, LCSW
• J. Andrea Blumenthal, MSW
• Catherine Michelle Blystone, RN
• Chris Blystone
• Joyce Obeng Boateng, PMHNP
• Kofi Boateng
• Theresah Boateng, BCBA
• Jon Michael Boatman, RDH
• Koh Boayue, MD

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.