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MR. COLTER BLOXOM LPC
NPI 1336780329
Counselor - Mental Health in Phoenix, AZ

Active since October 01, 2019
3420 E SHEA BLVD STE 188, PHOENIX, AZ 85028(602) 529-6557(480) 485-7938 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Colter Bloxom Lpc NPPES

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

MR. COLTER BLOXOM LPC (NPI 1336780329) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (18381) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1336780329
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. COLTER BLOXOMCredential: LPC
Location Address3420 E SHEA BLVD STE 188Phoenix, AZ 85028-3354
Mailing Address3420 E Shea Blvd Ste 188Phoenix, AZ 85028-3354 · (602) 529-6557 · Fax (480) 485-7938
Phone(602) 529-6557
Fax(480) 485-7938
Sole ProprietorYes
Enumeration DateOctober 1, 2019
✔ NPI 1336780329 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 AZ · 18381
3420 E SHEA BLVD STE 188, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 6

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

GRACE ANNE KALT LCSW
Social Worker (Clinical)
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 633-5474
DR. ROXANNE HAIT PSYD
Psychologist (Clinical)
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 633-5474
MRS. STASEE J MCKENY LMSW
Social Worker
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 633-5474
ELIZABETH CAPOVERDE LMHC, LPC, MA
Counselor (Mental Health)
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 633-5474
AUBREY LOGAN LPC
Counselor (Mental Health)
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 529-6557
LARISSA ACOSTA
Social Worker
3420 E SHEA BLVD STE 188
PHOENIX, AZ 85028
Maricopa County (602) 633-5474

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 Colter Bloxom's NPI number?

The NPI number for Colter Bloxom is 1336780329. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Colter Bloxom located?

Colter Bloxom practices at 3420 E Shea Blvd Ste 188, Phoenix, AZ 85028. The listed phone number is (602) 529-6557.

What is Colter Bloxom's specialty?

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

When was this NPI record last updated?

The NPPES record for Colter Bloxom was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.