Jordan Blankenship
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Roanoke, VA
NPI 1750185245 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1750185245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0709026234 (VA)
- Practice address
- 3208 Hershberger Rd NW
Roanoke, VA 24017-1842 - Phone
- (540) 912-4211
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0709026234 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709026234 | VA | Yes |
Addresses
Primary practice location
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Mailing address
1649 Read Mountain Rd NE
Roanoke, VA 24019-5845
Phone (540) 759-0416
Other providers in Roanoke, VA
- Andrew Mackenzie Blair
- Victoria Elizabeth Blair
- Melanie Holloway Blanding
- James Blankenship
- Janelle S Blankenship
- Lula May Blankenship
- Tammy Michele Heath Blankenship
- Grace Blaylock
- Lauren Bledsoe
- Blink Optometry PC
All providers in Roanoke, VA · Addiction (Substance Use Disorder) 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 Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.