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KRISTA BLARE MA, LCMHCA
NPI 1578364600
Counselor - Mental Health in Charlotte, NC

Active since March 24, 2025
5970 FAIRVIEW RD STE 126, CHARLOTTE, NC 28210(704) 762-1361 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Krista Blare Ma, Lcmhca NPPES

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

KRISTA BLARE MA, LCMHCA (NPI 1578364600) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (A21210) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1578364600
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTA BLARECredential: MA, LCMHCA
Location Address5970 FAIRVIEW RD STE 126Charlotte, NC 28210-2100
Mailing Address1209 S College St Unit 2415Charlotte, NC 28203-4671 · (480) 710-2557
Phone(704) 762-1361
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1578364600 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 NC · A21210
5970 FAIRVIEW RD STE 126, Charlotte, NC 28210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MISS SAMANTHA ANNE CONNOLLY MSW, LCSWA
Social Worker (Clinical)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 762-1361
ANDREA YAEL JUAREZ
Social Worker (Clinical)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 412-8830
BRITTA MEMMESHEIMER
Acupuncturist
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 412-8830
RACHEL MERRITT MARTIN MSW, LCSW
Social Worker (Clinical)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 762-1361
JULIET LAM KUEHNLE, LCMHC, PLLC
Counselor (Mental Health)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 412-8830
STEFANIE SMITH
Counselor (Mental Health)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 412-8830
MRS. JULIET LAM KUEHNLE LCMHCS
Counselor (Professional)
5970 FAIRVIEW RD STE 126
CHARLOTTE, NC 28210
Mecklenburg County (704) 412-8830

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 Krista Blare's NPI number?

The NPI number for Krista Blare is 1578364600. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Krista Blare located?

Krista Blare practices at 5970 Fairview Rd Ste 126, Charlotte, NC 28210. The listed phone number is (704) 762-1361.

What is Krista Blare'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 Krista Blare was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.