DOUGLAS BLAKEMAN (NPI# 1689117335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689117335 |
| Entity Type | Individual |
| Full Name | DOUGLAS BLAKEMAN |
| Credential | CSAC |
| Practice Address |
425 7th Ave Sw Hickory NC 28602-3237 |
| Practice Telephone | 8283555915 |
| Practice Fax Number | 8283450387 |
| Mailing Telephone | 8283555915 |
| Mailing Fax Number | 8283450387 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22214 | NC | Behavioral Health & Social Service Providers |
| Street Address |
425 7TH AVE SW |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518419 | Julie Carol Day | Social Worker | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-13 |
| 1184118663 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2018-06-19 |
| 1982837506 | Angela Beachkofsky | Marriage & Family Therapist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2009-08-31 |
| 1932343605 | Mary Barbara Staunton | Psychologist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2009-04-27 |
| 1063531515 | Elbert Andrew Rudisill Jr. | Family Medicine | 425 7th Ave Sw, Hickory, NC 28602 | 2007-03-28 |
| 1376600718 | Integrated Care of Greater Hickory, Inc | Counselor | 425 7th Ave Sw, Hickory, NC 28602 | 2007-01-03 |
| 1821088246 | Chelsea M. Wakefield | Social Worker | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-10-26 |
| 1043209711 | Crossroads Counseling | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-10-17 |
| 1023005634 | Angela S. Langford | Counselor | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-29 |
| 1538154794 | Heather Anne Teague | Psychologist | 425 7th Ave Sw, Hickory, NC 28602-3237 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671571 | Katrina Marie Belmont | Counselor | 2247 S Center St, Hickory, NC 28602-5319 | 2019-10-18 |
| 1891253266 | Rebecca Joy Johnson-das | Counselor | 5577 Brookwood Ln, Hickory, NC 28602-5507 | 2019-03-05 |
| 1467948521 | Genisys Complete Recovery, LLC | Counselor | 10 3rd Ave Ne Ste 400, Hickory, NC 28601-5044 | 2018-07-02 |
| 1689197923 | Kristen R Seese | Counselor | 423 7th Ave Sw, Hickory, NC 28602-3237 | 2017-07-19 |
| 1609313287 | Shameka Owens | Counselor | 2705 N Center St, Apt 9, Hickory, NC 28601-1353 | 2017-01-20 |
| 1447666953 | Rosanne Rzasa | Counselor | 1170a Fairgrove Church Road, Hickory, NC 28602 | 2014-07-03 |
| 1952743668 | Corey John Richardson | Counselor | 211a S Nc 127 Hwy, Hickory, NC 28602-3541 | 2013-07-23 |
| 1609149590 | Heather Ann Sain | Counselor | 336 Lenoir Rhyne Blvd Se Ste 1, Hickory, NC 28602-3878 | 2012-02-22 |
| 1730354341 | Ed L Mccrary | Counselor | 323 2nd St Nw, Hickory, NC 28601-4904 | 2008-04-24 |
| 1447439310 | Virginia Lee Reid | Counselor | 1206 Fairgrove Church Rd, Hickory, NC 28602-9696 | 2007-10-29 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.