Active NPI
Erika Blair, M.A., LPC, RPT
- Professional Counselor
- Georgetown, TX
National Provider Identifier
1801392972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74792
- Practice address
- 4118 Williams Dr Ste 101
Georgetown, TX 78628-1335 - Phone
- (512) 461-7521
- NPI assigned
- Apr 5, 2018
- Last updated
- Apr 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74792 | TX | Primary |
Addresses
Primary practice location
4118 Williams Dr Ste 101
Georgetown, TX 78628-1335
Mailing address
1208 Country Club Rd
Georgetown, TX 78628-3518
Phone (512) 461-7521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T3729 | Other | ASSOCIATION FOR PLAY THERAPY | |
| 74792 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74792 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1801392972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 COUNTRY CLUB RD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283518",
"telephone_number": "512-461-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4118 WILLIAMS DR STE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281335",
"telephone_number": "512-461-7521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "ERIKA",
"credential": "M.A., LPC, RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATION FOR PLAY THERAPY",
"identifier": "T3729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
"identifier": "74792",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
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- Blessed Family Chiropractic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.