Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Blair, MA, PLPC

Individual provider Counselor · NPI 1194402586

Ethan Blair, MA, PLPC is a Mental Health Counselor in Saint Joseph, Missouri. Qualified in 2022, 4 years ago. Practices with Family Guidance Center for Behavioral Healthcare, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

724 N 22nd St
Saint Joseph, MO 64506-2604
Phone: (816) 341-1501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2023025977 (MO)

Record details

NPI number1194402586
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , PLPC
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address724 N 22nd St, Saint Joseph, MO 64506-2604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family Guidance Center For Behavioral Healthcare — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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