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JAVIER DARIO LUNA BLANCO LPC
NPI 1467344374
Counselor - Professional in Kenosha, WI

Active since July 16, 2025PECOS Enrolled
4006 WASHINGTON RD, KENOSHA, WI 53144(262) 771-1700 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Javier Dario Luna Blanco Lpc NPPES

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

JAVIER DARIO LUNA BLANCO LPC (NPI 1467344374) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (11855-125) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kenosha, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467344374
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJAVIER DARIO LUNA BLANCOCredential: LPC
Location Address4006 WASHINGTON RDKenosha, WI 53144-4819
Mailing Address1422 Blaine AveRacine, WI 53405-3310 · (262) 822-2285
Phone(262) 771-1700
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1467344374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11855-125
4006 WASHINGTON RD, Kenosha, WI 53144
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Secondary Practice Location 1

Location 14536 22nd AveKenosha, WI 53140-5917 · Phone (262) 656-0044 · Fax (262) 653-2218

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Javier Dario Luna Blanco Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597254326
PECOS Enrollment IDI20251030003816
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

HANNAH DAVIDSON APSW
Social Worker (Clinical)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
VEDRANA JOVKOVIC APNP
Nurse Practitioner (Family)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700
LUIS DANIEL RUIZ GONZALEZ RDH
Dental Hygienist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-3553
DR. SACHIN VERMA D.D.S
Dentist
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
DR. CODIE JORDAN VASSAR M.D
Psychiatry & Neurology (Psychiatry)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
COURTNEY CHAPLIN RYAN
Behavior Analyst
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 204-5697
KENOSHA COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 656-0044
TRACY LYNN MARGETSON FNP
Nurse Practitioner (Family)
4006 WASHINGTON RD
KENOSHA, WI 53144
Kenosha County (262) 771-1700

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 Javier Luna Blanco's NPI number?

The NPI number for Javier Luna Blanco is 1467344374. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Javier Luna Blanco located?

Javier Luna Blanco practices at 4006 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 771-1700.

What is Javier Luna Blanco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Javier Luna Blanco enrolled in Medicare?

Yes. Javier Luna Blanco is registered in the Medicare PECOS enrollment system.

What insurance does Javier Luna Blanco accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Javier Luna Blanco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Javier Luna Blanco was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.