Individual provider Active NPI

Leita Mae Blair, LPC, LMFT

  • Marriage & Family Therapist
  • Richardson, TX
National Provider Identifier
1962503102
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1748 Issued in TX
Practice address
2007 N. Collins Suite 409
Richardson, TX 75080-2665
Phone
(817) 410-9006
Fax
(817) 410-9006
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4505 TX
Marriage & Family Therapist 106H00000X 1748 TX Primary

Addresses

Primary practice location

2007 N. Collins Suite 409
Richardson, TX 75080-2665

Mailing address

2007 N. Collins Suite 409
Richardson, TX 75080-2665
Phone (817) 410-9006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240721000136 TX Practitioner - Marriage and Family Therapist 3971049495 Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4505TXMDProfessional Counselor
1748TXMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962503102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N. COLLINS SUITE 409",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "817-410-9006",
            "fax_number": "817-410-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N. COLLINS SUITE 409",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802665",
            "telephone_number": "817-410-9006",
            "fax_number": "817-410-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "LEITA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "4505",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.