Jasmine Blanks

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT000759 Issued in GA

Practice address

11770 E Fox CT
Alpharetta, GA 30005-7800

Phone

(470) 254-7050

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By 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

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.

• The Summit Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Johns Creek, GA
  • NPI 1477761633
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1770261844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SPRING CREEK LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503808",
            "telephone_number": "501-607-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 E FOX CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300057800",
            "telephone_number": "470-254-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Old Alabama Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300228553",
            "country_code": "US",
            "telephone_number": "678-893-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11180 Medlock Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972590",
            "country_code": "US",
            "telephone_number": "678-893-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3995 Webb Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054142",
            "country_code": "US",
            "telephone_number": "470-254-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Nelson Brogdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183479",
            "country_code": "US",
            "telephone_number": "678-893-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKS",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen K Blackburn, PT, DPT
• Mary Rebecca Blackington, MD
• Marlene Louise Blaise, MD
• Heather Blakeslee
• Blancstone Psychotherapy
• Paige Alexandra Blaszak
• Andrew Douglas Blatt, PSY.D.
• Cheryl Jean Blevins, LCSW
• Delaney Bouvier Bloom
• Blossom Hill Senior Living LLC

• Marriage & Family Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.