STEPHANIE MARIE BLUST QMHP
NPI 1639768963
Community/Behavioral Health in Fairborn, OH

Q: What is Stephanie Blust's NPI number?

The NPI number for Stephanie Blust is 1639768963. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Stephanie Blust's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Blust was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 12, 2021

323 N BROAD ST, FAIRBORN, OH 45324(937) 318-8103 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie Marie Blust Qmhp NPPES

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

STEPHANIE MARIE BLUST QMHP (NPI 1639768963) is an individual community/behavioral health provider in Fairborn, Ohio and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1639768963

Entity TypeIndividualFemale

Primary Taxonomy251S00000X

Provider Legal NameSTEPHANIE MARIE BLUSTCredential: QMHP

Location Address323 N BROAD STFairborn, OH 45324-4934

Mailing Address21018 Fayetteville RdBlanchester, OH 45107-8890 · (937) 725-6752

Phone(937) 318-8103

Sole ProprietorYes

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1639768963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

323 N BROAD ST, Fairborn, OH 45324

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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.

MRS. ANNA MCKINNEY

Behavior Analyst