MARYJANE BLANCHFIELD NPI 1881767960

NPI Information

NPI: 1881767960
Provider Name: MARYJANE BLANCHFIELD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
224 4TH ST NW
SUITE 5
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-6776
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Maryjane Blanchfield is a counselor in Devils Lake, ND. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Maryjane Blanchfield NPI is 1881767960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

224 4TH ST NW
SUITE 5
DEVILS LAKE, ND
ZIP 58301-960
Phone: (701) 662-6776
Fax: (701) 662-6889

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		603	NORTH DAKOTA	Yes
2	1041C0700X	Social Worker	Clinical			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22354	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA
2	19153	MEDICAID	NORTH DAKOTA
3	58301-A002	OTHER	NORTH DAKOTA	TRIWEST
4	22354	OTHER	NORTH DAKOTA	BCBSND
5	62-56618	OTHER	NORTH DAKOTA	MEDICA UBH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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