Individual provider Active NPI

Julie Blamasah, LMHC, CAP, SAP

  • Mental Health Counselor
  • Santa Rosa Beach, FL
National Provider Identifier
1982975769
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15033 Issued in FL
Practice address
5200 US Highway 98 E
Santa Rosa Beach, FL 32459-6030
Phone
(203) 954-9211
Fax
(850) 231-1263
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000926 CT
Mental Health Counselor 101YM0800X 15033 FL Primary

Addresses

Primary practice location

5200 US Highway 98 E
Santa Rosa Beach, FL 32459-6030

Mailing address

57 Hallelujah Ave
Santa Rosa Beach, FL 32459-6085
Phone (203) 954-9211

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

LicenseStateTypeSpecialty
000926CTMDAddiction (Substance Use Disorder) Counselor
15033FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Navigation Counseling Services LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1982975769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HALLELUJAH AVE",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596085",
            "telephone_number": "203-954-9211",
            "fax_number": "850-231-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 US HIGHWAY 98 E",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596030",
            "telephone_number": "203-954-9211",
            "fax_number": "850-231-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAMASAH",
        "first_name": "JULIE",
        "credential": "LMHC, CAP, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000926",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.