Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Adam Blevins, LPC-R, MA, CCISM

Individual provider Mental Health Counselor · NPI 1790566917

Jeffrey Adam Blevins, LPC-R, MA, CCISM is a Mental Health Counselor in Chantilly, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
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

4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270
Phone: (855) 326-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0704016324 (VA)

Record details

NPI number1790566917
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-R , MA , CCISM
Sole proprietorNo
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

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