Daphne Dawn Blanton, M.ED
Individual provider Active NPI Professional Counselor · Big Stone Gap, VA
NPI 1700924099 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1700924099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701011307 (VA)
- Practice address
- 43 Champions Ave
Big Stone Gap, VA 24219-1105 - Phone
- (276) 523-8300
- Fax
- (423) 467-3644
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240216002109 | VA | Practitioner - Mental Health Counselor | 2668816786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011307 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Current |
Accepting new patients | |
| Frontier Health | Current |
Accepting new patients | |
| Frontier Health | Past | Accepting new patients |
Locations
1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670
43 Champions Ave
Big Stone Gap, VA 24219
Phone (276) 523-0682
1431 Duff Patt Hwy
Duffield, VA 24244
Phone (276) 431-4370
34084 Wilderness Rd
Jonesville, VA 24263
1006 US Highway 23 North
Weber City, VA 24290
Phone (276) 225-0976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011307 | VA | Yes |
Addresses
Primary practice location
43 Champions Ave
Big Stone Gap, VA 24219-1105
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
Other providers in Big Stone Gap, VA
- Big Stone Gap Life Care, LLC
- Big Stone Gap Rescue Squad, Inc.
- Patty Biles
- Christopher Eugene Bishop
- Doris Jean Bishop
- Mark Lee Blanton
- Rachel Allison Bledsoe
- Blue Ridge Medical Management Corpoartion
- Judy Ann Bolling
- Rebecca Faith Bolling
All providers in Big Stone Gap, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.