KATHERINE JEAN VANBLAIR (PHD) – Marriage & Family Therapist, NPI 1346209855

KATHERINE JEAN VANBLAIR (PHD) is a healthcare provider. based in Davenport, Hawaii. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials PHD. They hold a License No. LMFT00166 (IA). The NPI Number for KATHERINE JEAN VANBLAIR (PHD) is 1346209855

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE JEAN VANBLAIR (PHD)
NPI
1346209855
Phone
(563) 359-4049
Address
2102 E 38TH ST
Enumeration Date
22 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152744006
Graduation Year
1998 (28 years ago)
PAC ID
4981190964
Group Practice PAC ID
0749272649
Professional Enrollment ID
I20251229002889
Address ID
IA503224108UR8553XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

82 MARRIAGE AND FAMILY THERAPIST in HI

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Provider Addresses for KATHERINE JEAN VANBLAIR (PHD)

  • 2102, East 38th Street, Davenport, Scott County, Iowa, 52807, United States

    DAVENPORT, HI 52807

    Phone: (563) 359-4049

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251229002889IMarriage And Family TherapistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52807)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749272649View full group profile
NameSpecialtyState
Clinical PsychologistIA
Clinical PsychologistIA
Clinical Social WorkerMO
Clinical Social WorkerNY
-IA
Clinical PsychologistIA
Clinical PsychologistIA
-IA
-IA
Mental Health CounselorIA

Reviews

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Frequently asked questions

Can I use this page to confirm KATHERINE JEAN VANBLAIR (PHD)'s NPI?
Yes. KATHERINE JEAN VANBLAIR (PHD) is listed with NPI 1346209855 in the public NPI dataset.
Is KATHERINE JEAN VANBLAIR (PHD) still practicing?
KATHERINE JEAN VANBLAIR (PHD) is currently listed as active in the public NPI registry.
What is KATHERINE JEAN VANBLAIR (PHD) best known for clinically?
Directory data describes KATHERINE JEAN VANBLAIR (PHD) with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Does KATHERINE JEAN VANBLAIR (PHD) list a practice location?
Patients near Davenport, Hawaii may find KATHERINE JEAN VANBLAIR (PHD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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