Dan K Blair, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7115 Virginia Rd
Suite 110
Crystal Lake, IL 60014-3112

Phone

(815) 276-3947

Fax

(815) 356-8975

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blair Counseling and Mediation PCGroup PAC ID 9032515796, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Blair Counseling and Mediation PC

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1245479674

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• McCutcheon, P.C.

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1730319179
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891866141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD",
            "address_2": "SUITE 110",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143112",
            "telephone_number": "815-276-3947",
            "fax_number": "815-356-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD",
            "address_2": "SUITE 110",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143112",
            "telephone_number": "815-276-3947",
            "fax_number": "815-356-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Bishop
• Emily Anne Bixler, RDN
• Krista Lynae Bjork, MABC
• Chance Black
• Blair Counseling and Mediation PC
• Alexandra Blakewell
• Ruth A Blameuser, M.S. OT, OTR/L
• Tracey Blanchard
• Kathi Lyne Bliler, P.A.-C
• Jordan Blochwitz, DMD

• Mental Health Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.