JACKIE C BLAIR, MEd — NPI 1821274408 (Licensed & Credentialed Counselor, School in SNOWFLAKE, AZ)

CMS-1500 Box 24J / 33a • NPI

1821274408

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

101YS0200X

Licensed & Credentialed Counselor, School

Box 32 Service Location & ZIP+4

146 SCHOOL BUS LANE, SNOWFLAKE, AZ, 85937

Official NPPES Practice Location

Practice Phone & Referral Fax

(928) 536-4156

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821274408 (JACKIE C BLAIR, MEd) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821274408` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACKIE C BLAIR, MEd
Plain-English Specialty	Licensed & Credentialed Counselor, School NUCC Code: `101YS0200X` (Counselor, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	146 SCHOOL BUS LANE, SNOWFLAKE, AZ, 85937
Practice Telephone / Fax	Tel: (928) 536-4156
Administrative Mailing Address	177 E MEADOWLARK, SNOWFLAKE, AZ, 85937-5116
Enumeration & Last Sync	Enumerated: 2008-01-14 \| CMS Record Updated: 2008-01-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

146 SCHOOL BUS LANE, SNOWFLAKE, AZ, 85937

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Plain-English Taxonomy & CMS Crosswalk (101YS0200X)

What Does Taxonomy Code 101YS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YS0200X translates to:
"Licensed & Credentialed Counselor, School"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, School for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACKIE C BLAIR, MEd)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YS0200X` — Counselor, School Plain English: Licensed & Credentialed Counselor, School	State: AZ \| License: `86020236` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACKIE C BLAIR, MEd (NPI #1821274408)