Active NPI
Christian Amanda Blakeman, LPCC
- Professional Counselor
- Louisville, KY
National Provider Identifier
1780011577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1468
- Practice address
- 312 S 4TH St Ste 700
Louisville, KY 40202-3046 - Phone
- (305) 902-6347
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1468 | KY | |
| Professional Counselor | 101YP2500X | 1468 | KY | Primary |
Addresses
Primary practice location
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Mailing address
312 S 4TH St Ste 700
Louisville, KY 40202-3046
Phone (305) 902-6347
Other practice location 1
114 Dennis Dr Ste 4
Lexington, KY 40503
Phone (859) 327-8455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1780011577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S 4TH ST STE 700",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023046",
"telephone_number": "305-902-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S 4TH ST STE 700",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023046",
"telephone_number": "305-902-6347"
}
],
"practiceLocations": [
{
"address_1": "114 Dennis Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "40503",
"country_code": "US",
"telephone_number": "859-327-8455",
"fax_number": "859-201-1329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAKEMAN",
"first_name": "CHRISTIAN",
"middle_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "1468",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.