TAMATHA BLODGETT (NPI# 1427423540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427423540 |
| Entity Type | Individual |
| Full Name | TAMATHA BLODGETT |
| Credential | LPC |
| Practice Address |
2150 Lakeside Blvd Ste 100 Richardson TX 75082-4302 |
| Practice Telephone | 9724374698 |
| Mailing Telephone | 9724374698 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 72072 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
72072 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
72072 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
72072 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2150 LAKESIDE BLVD STE 100 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326477332 | Melissa Henderson | Counselor | 2150 Lakeside Blvd Ste 100, Richardson, TX 75082-4302 | 2013-11-11 |
| 1508406976 | Elizabeth Boyd | Counselor | 2150 Lakeside Blvd Ste 100, Richardson, TX 75082-4467 | 2020-01-13 |
| 1730726696 | Dona Ribin Nguyen | Counselor | 2150 Lakeside Blvd Ste 100, Richardson, TX 75082-4467 | 2019-12-10 |
| 1386110278 | Karen D Kornelsen | Counselor | 2150 Lakeside Blvd Ste 100, Richardson, TX 75082-4302 | 2018-10-17 |
| 1396136693 | Grant Landon Davis | Nurse Practitioner | 2150 Lakeside Blvd Ste 100, Richardson, TX 75082-4302 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677242 | Mary Brieske | Counselor | 3507 Hollowridge Ct, Richardson, TX 75082-2429 | 2020-07-28 |
| 1487276598 | Transforming Lives Therapy Pllc | Counselor | 1202 Richardson Dr Ste 310, Richardson, TX 75080-4411 | 2020-05-12 |
| 1164058780 | Compass Counseling and Consulting Pllc | Counselor | 833 E Arapaho Rd, Richardson, TX 75081-2293 | 2020-03-15 |
| 1760015606 | James Pocta | Counselor | 1212 E Arapaho Rd # 230, Richardson, TX 75081-2560 | 2020-02-19 |
| 1710518725 | Janice K Rose-gill | Counselor | 611 Greenleaf Dr, Richardson, TX 75080-5632 | 2020-01-29 |
| 1083245922 | Sbates Creates, LLC | Counselor | 1750 N Collins Blvd Ste 206c, Richardson, TX 75080-3625 | 2020-01-29 |
| 1386299170 | Ellen N Dean | Counselor | 1105 Hampshire Ln, Richardson, TX 75080-4306 | 2019-08-07 |
| 1588153019 | Isabel Oliver | Counselor | 1401 N Central Expy Ste 105, Richardson, TX 75080-4669 | 2018-05-10 |
| 1417453275 | Colleen Rua Logan | Counselor | 610 Old Campbell Rd Ste 112, Richardson, TX 75080-3379 | 2018-04-02 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
Please comment or provide details below to improve the information on TAMATHA BLODGETT.
| 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.