Mary Adrian Blanchard, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 60089689 Issued in WA

Practice address

917 Pacific Ave
Suite 416
Tacoma, WA 98402-4446

Phone

(253) 347-1983

Fax

(253) 249-7199

NPI assigned

Feb 24, 2010

Last updated

Apr 2, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1992027494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE",
            "address_2": "SUITE 416",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024446",
            "telephone_number": "253-347-1983",
            "fax_number": "253-249-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE",
            "address_2": "SUITE 416",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024446",
            "telephone_number": "253-347-1983",
            "fax_number": "253-249-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MARY",
        "middle_name": "ADRIAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60089689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012092",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "8952267",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Blake, MD
• Kristine D. Blake, L.I.C.S.W.
• Vickkie Blakeney
• Keavy Nakia Blalock Jr.
• Matthew Blalock
• Brandon Blanchet
• Tiffany Lynn Blandenberg, LPN
• Katelyn Maureen Blando, RN
• Catherine Anne Blank, MSPA, CCC-SLP
• Robert Brice Blankenship, M.D.

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.