KAREN BLANDINO LPC
NPI 1083479497
Counselor - Mental Health in Fort Worth, TX

Active since February 15, 2024Opted out of Medicare · through Apr 12, 2028
4927 BYERS AVE, FORT WORTH, TX 76107(817) 798-7522 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Blandino Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN BLANDINO LPC (NPI 1083479497) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (80426) and active in the NPI registry since February 2024. She has opted out of Medicare through April 12, 2028.

NPPES Registry Identity

NPI1083479497
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAREN BLANDINOCredential: LPC
Location Address4927 BYERS AVEFort Worth, TX 76107-4148
Mailing Address116 Mckinley DrBurleson, TX 76028-6588 · (817) 798-7522
Sole ProprietorYes
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1083479497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 80426
4927 BYERS AVE, Fort Worth, TX 76107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Karen Blandino Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2024 through April 12, 2028.

Opt-Out Effective DateApril 12, 2024
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
4927 BYERS AVE
FORT WORTH, TX 76107
Nurse Practitioner (Psychiatric/Mental Health)
4927 BYERS AVE
FORT WORTH, TX 76107
Acupuncturist
4927 BYERS AVE
FORT WORTH, TX 76107
Nurse Practitioner (Family)
4927 BYERS AVE
FORT WORTH, TX 76107
Counselor (Addiction (Substance Use Disorder))
4927 BYERS AVE
FORT WORTH, TX 76107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Blandino's NPI number?

The NPI number for Karen Blandino is 1083479497. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Karen Blandino located?

Karen Blandino practices at 4927 Byers Ave, Fort Worth, TX 76107. The listed phone number is (817) 798-7522.

What is Karen Blandino's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Karen Blandino enrolled in Medicare?

No. Karen Blandino has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Karen Blandino was last updated on February 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.