Individual provider Active NPI

Keri Blonski, LPC

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1760100093
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011457 Issued in VA
Practice address
2428 Almeda Ave Ste 110
Norfolk, VA 23513-2448
Phone
(434) 237-9450
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011457 VA Primary

Addresses

Primary practice location

2428 Almeda Ave Ste 110
Norfolk, VA 23513-2448

Mailing address

108 Duncraig Dr
Lynchburg, VA 24502-3335
Phone (434) 473-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250115003968 VA Practitioner - Mental Health Counselor 4284166893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Artemis Therapeutic Center LLCGroup PAC ID 9032522750, 6 clinicians

Practice addresses (Care Compare)

1425 Battlefield Blvd N
Suite 2182
Chesapeake, VA 23320-4585
Phone (757) 453-3215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011457VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Therapeutic Center LLC CurrentSince Sep 30, 2024 Accepting new patients

Locations

1425 Battlefield Blvd N
Ste 2182
Chesapeake, VA 23320
Phone (757) 453-3215

4216 Virginia Beach Blvd
Ste 220
Virginia Beach, VA 23452
Phone (757) 202-4102

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1760100093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DUNCRAIG DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023335",
            "telephone_number": "434-473-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 ALMEDA AVE STE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132448",
            "telephone_number": "434-237-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONSKI",
        "first_name": "KERI",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.