Organization Active NPI

Blancstone Psychotherapy

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1740648039
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 005475 Issued in GA
Legal business name
BLANCSTONE PSYCHOTHERAPY
Practice address
150 Prospect PL
Alpharetta, GA 30005-5445
Phone
(770) 415-3442
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Tanya White, EDD LPC NCCNPI 1922473347
Title
Owner/Provider
Phone
(770) 415-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC 005475 GA Primary

Addresses

Primary practice location

150 Prospect PL
Alpharetta, GA 30005-5445

Mailing address

PO Box 4651
Alpharetta, GA 30023-4651
Phone (770) 415-3442

National Provider Directory

National Provider Directory

Locations

150 Prospect Pl
Alpharetta, GA 30005
Phone (678) 296-1278

930 Green St SW
Conyers, GA 30012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1740648039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4651",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300234651",
            "telephone_number": "770-415-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055445",
            "telephone_number": "770-415-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCSTONE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "770-415-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD LPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC 005475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.