Active NPI
Kamron Blue, MSW
- Mental Health Counselor
- Hampton, VA
National Provider Identifier
1861007668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1720 N King St
Hampton, VA 23669-1910 - Phone
- (757) 224-0537
- NPI assigned
- Sep 9, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1720 N King St
Hampton, VA 23669-1910
Mailing address
912 Godwin St
Portsmouth, VA 23704-4014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kblue@truelifedest.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1861007668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 GODWIN ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237044014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 N KING ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236691910",
"telephone_number": "757-224-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "KAMRON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kblue@truelifedest.com",
"affiliation": "N",
"endpointDescription": "Company Email",
"address_1": "1720 N King St",
"city": "Hampton",
"state": "VA",
"country_code": "US",
"postal_code": "236691910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.