Look up the most recent NPI and PECOS records

Elizabeth S Blevins

Counselor

Behavioral Health & Social Service Providers

110 Carriage Way, Lynchburg, VA 24503-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth S Blevins does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1841391331
Provider Type
Individual
Full Name
Blevins, Elizabeth S
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/26/2006
Last Updated
1/20/2022

Contact Information

Practice Location

110 Carriage Way, Lynchburg, VA 24503-4223

(434) 444-3648

Unlisted Fax

Mailing Location

110 Carriage Way, Lynchburg, VA 24503-4223

(434) 444-3648

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701003884 Virginia

Provider Identifiers

ID	Description	Issuer
ID 186930	Description Other	Issuer ANTHEM BLUE SHIELD Virginia
ID 004945441	Description Medicaid	Issuer Unlisted Virginia

Elizabeth S Blevins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Johnson, Stephen George

Cassada, Nina D

Sutton, Fern

Sullivan, Daniel J.

Johnston, Amanda Rose

Sova, Patricia

Keating, Teresa Lynn

Meador, James Allan

Davis, Bryn

Demato, Doris