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BIANCA BLATTMAN LPC-A
NPI 1699481358
Counselor - Mental Health in Tyler, TX

Active since January 26, 2023Opted out of Medicare · through Oct 8, 2026
3310 S BROADWAY AVE STE 212, TYLER, TX 75701(903) 201-7412 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bianca Blattman Lpc-a NPPES

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

BIANCA BLATTMAN LPC-A (NPI 1699481358) is an individual mental health provider in Tyler, Texas, licensed in Texas (90132) and active in the NPI registry since January 2023. She has opted out of Medicare through October 8, 2026.

NPPES Registry Identity

NPI1699481358
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBIANCA BLATTMANCredential: LPC-A
Location Address3310 S BROADWAY AVE STE 212Tyler, TX 75701-7818
Mailing Address3310 S Broadway Ave Ste 212Tyler, TX 75701-7818
Phone(903) 201-7412
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1699481358 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 · 90132
3310 S BROADWAY AVE STE 212, Tyler, TX 75701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bianca Blattman Lpc-a 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 October 8, 2024 through October 8, 2026.

Opt-Out Effective DateOctober 8, 2024
Opt-Out In Effect ThroughOctober 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Bianca Blattman's NPI number?

The NPI number for Bianca Blattman is 1699481358. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Bianca Blattman located?

Bianca Blattman practices at 3310 S Broadway Ave Ste 212, Tyler, TX 75701. The listed phone number is (903) 201-7412.

What is Bianca Blattman's specialty?

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

Is Bianca Blattman enrolled in Medicare?

No. Bianca Blattman has opted out of Medicare through October 8, 2026. 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 Bianca Blattman was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.