Active NPI
Alice P Blackburn, LPCA
- Professional Counselor
- Brevard, NC
National Provider Identifier
1982175519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14308
- Practice address
- 65 N Broad St
Brevard, NC 28712-3725 - Phone
- (828) 631-3973
- Fax
- (828) 631-9280
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14308 | NC | Primary |
Addresses
Primary practice location
65 N Broad St
Brevard, NC 28712-3725
Mailing address
PO Box 2187
Sylva, NC 28779-2187
Other practice location 1
69 N Broad St
Brevard, NC 28712-3725
Phone (828) 631-3973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14308 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1982175519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2187",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N BROAD ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123725",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
}
],
"practiceLocations": [
{
"address_1": "69 N Broad St",
"address_purpose": "LOCATION",
"city": "Brevard",
"state": "NC",
"postal_code": "287123725",
"country_code": "US",
"telephone_number": "828-631-3973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKBURN",
"first_name": "ALICE",
"middle_name": "P",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
- Norman N Bein, M.D., FACS, RVT
- Benchmark Physical Therapy of NC, LLC
- George Ruffin Benton III, M.D.
- Trista Best, LDN
- Melody Beus, MACOM, LAC
- Ashlyn Grace Blakely, DPT
- Mark H Blakely, DPT,OCS
- Blue Mountain Medicine PLLC
- Blue Ridge Community Health Services Inc
- Blue Ridge Community Health Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.