Active NPI
Mary Ruth Blair, LPC
- Professional Counselor
- Pawley's Island, SC
National Provider Identifier
1831737436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC7337
- Practice address
- 10689 Ocean Highway
Pawleys Island, SC 29585 - Phone
- (843) 508-9604
- NPI assigned
- Dec 13, 2019
- Last updated
- Dec 13, 2019
- 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 | LPC7337 | SC | Primary |
Addresses
Primary practice location
10689 Ocean Highway
Pawleys Island, SC 29585
Mailing address
390 Lantana Cir
Georgetown, SC 29440-7298
Phone (843) 991-1028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC7337 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1831737436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 LANTANA CIR",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294407298",
"telephone_number": "843-991-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10689 OCEAN HIGHWAY",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "29585",
"telephone_number": "843-508-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "MARY",
"middle_name": "RUTH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "LPC7337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawley's Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.