Individual provider Active NPI

Lehome' Bliss, PHD

  • Counselor
  • Fayetteville, GA
National Provider Identifier
1811319429
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
170724 Issued in MD
Practice address
109 N 85 Pkwy
Suite B
Fayetteville, GA 30214-4003
Phone
(678) 522-5361
Fax
(678) 522-5361
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 170724 MD Primary
Pastoral Counselor 101YP1600X 2009170 GA

Addresses

Primary practice location

109 N 85 Pkwy
Suite B
Fayetteville, GA 30214-4003

Mailing address

109 N 85 Pkwy
Suite B
Fayetteville, GA 30214-4003
Phone (678) 522-5361

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
170724MDMDCounselor
2009170GAMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Bliss Center, Paracletos Institute International Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1811319429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 85 PKWY",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144003",
            "telephone_number": "678-522-5361",
            "fax_number": "678-522-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 85 PKWY",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144003",
            "telephone_number": "678-522-5361",
            "fax_number": "678-522-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "LEHOME'",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "170724",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "2009170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.