Marcia Blane, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011552 Issued in GA

Practice address

118 Stockbridge Rd Ste 104
Jonesboro, GA 30236-3627

Phone

(678) 379-8450

Fax

(678) 658-2466

NPI assigned

Aug 19, 2019

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

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.

• Peculiar One Counseling & Consultant

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, GA
  • NPI 1609639608
  NPD Authorized official

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1972150688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STOCKBRIDGE RD STE 104",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363627",
            "telephone_number": "678-379-8450",
            "fax_number": "678-658-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 STOCKBRIDGE RD STE 104",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363627",
            "telephone_number": "678-379-8450",
            "fax_number": "678-658-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANE",
        "first_name": "MARCIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "011552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peculiar1.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 The Exchange SE Ste 400",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303392022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jonesboro",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1830 Water Pl SE Ste 215",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303397407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peculiar1.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 The Exchange SE Ste 400",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303392022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mblane@peculiar1.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Stockbridge Rd Ste 104",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302363627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bio-Medical Applications of Georgia, Inc. (Fresenius Medical Care Southwood)
• Bisol Home Care Services, Inc
• Jason Adam Bitkowski, D.O.
• Mariama Blackman, FNP-C
• Carolyn I Blackmore, RN
• Blue Medical Solutions LLC
• Tamika Blue, FNP-BC
• Lavorne Blyden-Green
• McKenzie Rebekah Boland
• Nyla P Bowens, LPC

• Mental Health Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.