Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JON BLACKSTONE, MFTA
DeactivatedETHAN JON BLACKSTONE, MFTA is a Counselor healthcare provider located in BELLEVUE, Washington. NPI 1457823411 is deactivated in the NPPES registry. Verify at CMS.
Counselor · BELLEVUE, WA
This NPI has been deactivated.
The record was deactivated on September 30, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457823411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2018 (1.7486338797814 yrs)
- Last Updated
- Oct 13, 2020
- Deactivated
- Sep 30, 2020
Practice Information
- Address
-
14216 NE 21ST STBELLEVUE, WA, 980073720Browse WA providers · Browse ZIP 98007
- Phone
- 4256535000
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Student (Health Education/Training)
Other Counselor Providers in BELLEVUE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DUDLEY BYRON MILLER | M.DIV. | 1912004169 |
| MRS. BEVERLY ANN DRINKARD | SW | 1881774867 |
| BERYL D KNAUTH | CDP | 1437365608 |
| PATRICIA ANN KILIAN | MSW, CDP | 1821204918 |
| JOHN ALEC CAMPBELL | CDP | 1922215102 |
| MARJORIE ELAINE LORENZ | MA LMHC | 1235331505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.