Nancy Carol Blair, LPC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LPC 1504 Issued in TN

Practice address

844 Natchez Trace Dr N
Lexington, TN 38351-4144

Phone

(731) 967-8803

Fax

(731) 967-8784

NPI assigned

Jul 31, 2006

Last updated

Mar 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Mental Health Centers & Clinics of Tennessee

  dba Quinco Mental Health Center

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1760498174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BROADWAY RD N",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383516272",
            "telephone_number": "731-967-8803",
            "fax_number": "731-967-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 NATCHEZ TRACE DR N",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383514144",
            "telephone_number": "731-967-8803",
            "fax_number": "731-967-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "NANCY",
        "middle_name": "CAROL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LPC 1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572449000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4007722",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beech Lake Pediatric Dentistry, PLC
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• Benwood Inpatient Services, PLLC
• Casey Beecham Blair, FNP
• Hillary Blankenship, APN
• Botanical Emergency Physicians, LLC
• Angie Dawn Brasher, SLP
• Holli D Brasher
• Christopher Hall Bratton, M.D.

• Social Worker in Lexington, TN
• Providers in Lexington, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.