Gaylen Blassingame, GAYLEN BLASSINGAME

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

32173 Issued in TX

Practice address

4307 Brookhollow Drive
Colleyville, TX 76034-7603

Phone

(817) 565-2389

NPI assigned

Jan 22, 2010

Last updated

Jan 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gaylen Blassingame Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1871824375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BROOKHOLLOW DRIVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347603",
            "telephone_number": "817-565-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 BROOKHOLLOW DRIVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347603",
            "telephone_number": "817-565-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASSINGAME",
        "first_name": "GAYLEN",
        "credential": "GAYLEN BLASSINGAME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "32173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLEN",
            "last_name": "BLASSINGAME",
            "credential": "GAYLEN BLASSINGAME",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.