Laveta Blaylock, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2391 Issued in NC

Practice address

600 Park Offices Dr Ste 300
Durham, NC 27709-1012

Phone

(336) 803-1053

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Broward County

  • Substance Abuse Rehabilitation Facility
  • Coral Springs, FL
  • NPI 1346913829
  NPD (past)

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1922517283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 ALDERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK OFFICES DR STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277091012",
            "telephone_number": "336-803-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "LAVETA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3131",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61235296",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime L Blanton, PT
• Lindsey Allsbrook Blanton, LCSW
• Lynn Blass, MFT
• Vicki Blatt
• Brent Lashley Blaylock, DDS
• Ruby Amanda Stipe Blaylock, PA-C
• Melinda F. Blazar, PA
• Dan Blazer, MD
• Dan German Blazer III, M.D.
• Michael August Blazing, MD

• Marriage & Family Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.