Kiarni La Tece Hall-Blakemore, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

166636 Issued in KY

Practice address

645 S Roy Wilkins Ave Ste 100
Louisville, KY 40203-2072

Phone

(502) 561-0943

Fax

(502) 561-0944

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Locations

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.

• Cleanse Clinic, PLLC

  • Addiction Psychiatry Physician
  • Louisville, KY
  • NPI 1659726628
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1841919149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W BROADWAY STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023245",
            "telephone_number": "502-561-0943",
            "fax_number": "502-561-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROY WILKINS AVE STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032072",
            "telephone_number": "502-561-0943",
            "fax_number": "502-561-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-BLAKEMORE",
        "first_name": "KIARNI",
        "middle_name": "LA TECE",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "166636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Haley
• Sarah Halfacre, OTR/L
• Abida Halilovic, PA-C
• Hall Family Chiropractic LLC
• Dawn Hall-Bibb, PT, PH.D.
• Juanita Hall-Miles
• Amy Diane Hall, LCSW
• April L Hall
• Ashley Nicole Hall, LCSW, CADAC-IV
• Ashley Nicole Hall, LCSW

• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

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

Verify at the official NPI Registry.