Marie Blunt, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

04564 Issued in AL

Practice address

6584 Poplar Ave FL 2
Memphis, TN 38138-3687

Phone

(901) 450-9155

NPI assigned

Feb 3, 2019

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

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 and National Provider Directory roles.

• Blunt Counseling

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1811698046
  NPD Authorized official
• McClain Counseling, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Birmingham, AL
  • NPI 1184192437
  NPD (past)

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1780149823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 PELHAM PKWY # 1086",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242012",
            "telephone_number": "901-450-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE FL 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383687",
            "telephone_number": "901-450-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10155 Amberton Cv",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380181052",
            "country_code": "US",
            "telephone_number": "901-450-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3552 Pelham Pkwy # 1086",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242012",
            "country_code": "US",
            "telephone_number": "901-450-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "04564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James W Boals Sr., MD

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.