Blanca Obregon, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-13019 Issued in AZ

Practice address

3820 S Ox Bow Loop
Flagstaff, AZ 86001-7047

Phone

(928) 226-8884

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandsted Wellness LLC

  • Professional Counselor
  • Lakeville, MN
  • NPI 1780553925

  MN, Professional

  Medicare reassignment NPD
• Thrive Tucson LLC

  • Counselor
  • Tucson, AZ
  • NPI 1922574607
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1740422740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S OX BOW LOOP",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017047",
            "telephone_number": "928-226-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 S OX BOW LOOP",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017047",
            "telephone_number": "928-226-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "BLANCA",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-13019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John O'Shea, PA-C
• Oasis Dental Care, Inc.
• Oasis Dental Care, Inc.
• Oasis Dental Services, PLLC
• Robert Scott Oberbreckling, OD
• Alice Obrien, MSW
• Blake Robert Obrock, D.O.
• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest PA
• Occupational Health Centers of the Southwest, P.a. (Az)

• All providers in Flagstaff, AZ
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.