Lora Blazina, LPC, MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3074 Issued in TN

Practice address

12760 San Rafael Ave NE
Albuquerque, NM 87122-1133

Phone

(505) 382-9742

NPI assigned

Nov 26, 2013

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 NM

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• True North Psychotherapy, Inc

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1265194146
  Medicare reassignment NPD Authorized official
• Heartspace New Mexico LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1780430181
  NPD (past)
• Athena Consulting and Psychological Services, PLLC

  dba Athena Care

  • Clinical Psychologist
  • Nashville, TN
  • NPI 1336292465

  Professional

  NPD (past)
• Tennessee TMS Center, PLLC

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1649637133
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1760812853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1602",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870591602",
            "telephone_number": "505-382-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 SAN RAFAEL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221133",
            "telephone_number": "505-382-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZINA",
        "first_name": "LORA",
        "name_prefix": "Mrs.",
        "credential": "LPC, MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Dione Blattman, OTRL
• Alan Charles Blaugrund, MD
• Abby R Blaylock
• Alexandra Blaylock
• Gerold J Blazek, MD
• Louise Blazquez
• BLC Albuquerque-GC, LLC (Brookdale Valencia)
• Gloria J Blea Johnson, LCSW
• Martha Danielle Blea-Cutrer, LCSW
• Audra Blea

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.