KRISTY ELEANOR BLALOCK (NPI# 1922360247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922360247 |
| Entity Type | Individual |
| Full Name | KRISTY ELEANOR BLALOCK |
| Credential | LCPC, NCC |
| Practice Address |
8028 Ritchie Hwy Suite 308 Pasadena MD 21122-1075 |
| Mailing Address |
8069 Green Orchard Rd Apt 12 Glen Burnie MD 21061-5115 |
| Practice Telephone | 4107610725 |
| Practice Fax Number | 4107612412 |
| Mailing Telephone | 4432232193 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 12860 | MD | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12860 | MD | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
12860 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
12860 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649773649 | Kristy K Blalock | Registered Nurse | 3605 Ne Loop 286 Ste 200, Paris, TX 75460-5091 | 2018-03-15 |
| Street Address |
8028 RITCHIE HWY SUITE 308 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179104 | Vanessa Cynthia Thomas | Nurse Practitioner | 8028 Ritchie Hwy, Ste 210, Pasadena, MD 21122-1075 | 2005-07-27 |
| 1316395783 | Fc Dialysis Holding Lle | Clinic/Center | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2016-05-26 |
| 1992185250 | Timothy Wayne Griffith | Social Worker | 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075 | 2015-06-02 |
| 1790164630 | Carla Alpheus-bernard | Nurse Practitioner | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2015-05-26 |
| 1902283682 | National Rehabilitation Hospital, Inc. | Physical Therapist | 8028 Ritchie Hwy, Suite 120, Pasadena, MD 21122-1075 | 2015-05-01 |
| 1356746952 | Associated Psychotherapists | Clinic/Center | 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075 | 2014-10-27 |
| 1952741019 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 8028 Ritchie Hwy, Suite 207, Pasadena, MD 21122-1075 | 2013-07-03 |
| 1083955009 | James Raleigh Sims Jr. | Pharmacist | 8028 Ritchie Hwy, Suite 314, Pasadena, MD 21122-1075 | 2013-03-15 |
| 1497096481 | Cynthia Marie Jeffries | Pharmacist | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2013-03-15 |
| 1164762415 | Kristen Canceran | Social Worker | 8028 Ritchie Hwy, Suite 310, Pasadena, MD 21122-1075 | 2013-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1386123966 | Andrea Sanchez | Counselor | 3811 Allen Genoa Rd, Pasadena, TX 77504-2723 | 2018-08-14 |
| 1295222396 | Christopher James Boule | Counselor | 3954 Bolivia Dr, Pasadena, TX 77504-2509 | 2018-04-16 |
| 1861846925 | Karla Auces | Counselor | 6914 Elmscott Dr, Pasadena, TX 77505-4409 | 2016-04-14 |
| 1003280504 | Elizabeth K Wills | Counselor | 5151 E Sam Houston Pkwy S, Pasadena, TX 77505-3915 | 2015-11-20 |
| 1972988350 | Coronado Counseling Center | Counselor | 3315 Burke Rd Ste 106, Pasadena, TX 77504-1873 | 2015-07-27 |
| 1356680680 | New Life Addictions Counseling, Inc | Counselor | 2528 Mountain Rd Ste 204, Pasadena, MD 21122-7204 | 2013-02-06 |
| 1801164256 | Kelsey Seifert | Counselor | 4701 Preston Ave, Pasadena, TX 77505-2050 | 2011-12-13 |
| 1346552031 | Harriet Kaiser | Counselor | 1191 E Walnut St # 201, Pasadena, CA 91106-1868 | 2010-07-09 |
| 1639315617 | Charles Richard Roberson Jr. | Counselor | 300 E Walnut St # 200, Pasadena, CA 91101-1584 | 2008-12-23 |
| Find all providers in PASADENA | ||||
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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.