Individual provider Active NPI

Alexandria Blymire

  • Marriage & Family Therapist
  • Richlands, NC
National Provider Identifier
1881091007
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1903 Issued in NC
Practice address
108 Carriage Hills CT
Richlands, NC 28574-8116
Phone
(715) 563-2120
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 11098A NC
Marriage & Family Therapist 106H00000X 1903 NC Primary

Addresses

Primary practice location

108 Carriage Hills CT
Richlands, NC 28574-8116

Mailing address

108 Carriage Hills CT
Richlands, NC 28574-8116
Phone (715) 563-2120

Other identifiers 1

IdentifierTypeStateIssuer
1881091007MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618000404 NC Practitioner - Marriage and Family Therapist 5193268290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

1111 Faison Ave
Fayetteville, NC 28304-5032
Phone (207) 487-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11098ANCMDMarriage & Family Therapist
1903NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimension Group, LLC CurrentSince May 17, 2024 Accepting new patients

Locations

210 N Sycamore St
Rose Hill, NC 28458
Phone (910) 289-2120

416 W Ridge St
Rose Hill, NC 28458
Phone (910) 289-2610

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1881091007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CARRIAGE HILLS CT",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748116",
            "telephone_number": "715-563-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CARRIAGE HILLS CT",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748116",
            "telephone_number": "715-563-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYMIRE",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "11098A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881091007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, NC

Sources for this page

Verify at the official NPI Registry.