George Mitchell Blair Jr., MED

Primary specialty

CounselorTaxonomy code 101Y00000X

License

61512 Issued in TX

Practice address

250 Bens TRL
Fort Worth, TX 76120-7000

Phone

(817) 514-1544

Fax

(817) 446-2051

NPI assigned

Oct 21, 2025

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Education

State licenses

Practice roles

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.

• Pate Rehabilitation Endeavors, LLC

  • Rehabilitation Clinic/Center
  • Irving, TX
  • NPI 1083738892
  NPD (past)

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1871460139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BENS TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761207000",
            "telephone_number": "817-514-1544",
            "fax_number": "817-446-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BENS TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761207000",
            "telephone_number": "817-514-1544",
            "fax_number": "817-446-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "GEORGE",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Blackwood, PH.D.
• Melissa Leigh Blackwood, LCSW
• Payton Haylie Blackwood, DOULA, PPD, CBE
• Chelsea Sue Blair, RN
• Emily Elizabeth Blair, LPC
• Katherine Blair, LMFT-ASSOCIATE
• Kelly G Blair, DDS
• Mary M Blair, CCC-SLP
• Roger S Blair, M.D.
• Susan B Blair, LCSW

• Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.