BLAIR LABUDOVICH – Mental Health Counselor, NPI 1679211635

BLAIR LABUDOVICH is a healthcare provider. based in Chesapeake, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 0701011343 (VA). The NPI Number for BLAIR LABUDOVICH is 1679211635

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR LABUDOVICH
NPI
1679211635
Phone
(757) 376-7153
Address
4264 RALEIGH RD
Enumeration Date
20 May 2022
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579662805
Graduation Year
2018 (8 years ago)
PAC ID
5890238281
Group Practice PAC ID
2961476114
Professional Enrollment ID
I20240613001360
Address ID
VA234352762SU7025XBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for BLAIR LABUDOVICH

  • 4264 RALEIGH RD

    CHESAPEAKE, VA 233213534

    Phone: (757) 376-7153

    Type: Mailing

  • 7025 HARBOUR VIEW BLVD

    SUFFOLK, VA 234352761

    Phone: (757) 758-5106

    Type: Location

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: 2024-06-13

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
I20240613001360IMental Health CounselorVATBD

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 23321)

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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: 2961476114View full group profile
NameSpecialtyState
Mental Health CounselorVA
Clinical Social WorkerVA
Nurse PractitionerVA
Mental Health CounselorVA
Clinical Social WorkerMI
Nurse PractitionerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Mental Health CounselorVA
-VA

Reviews

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Frequently asked questions

How is BLAIR LABUDOVICH identified in CMS data?
CMS-hosted NPPES data lists BLAIR LABUDOVICH with NPI 1679211635.
Does CMS list BLAIR LABUDOVICH as active?
Yes — BLAIR LABUDOVICH is active in the NPI listing used on this page.
What is BLAIR LABUDOVICH's specialty?
The listing groups BLAIR LABUDOVICH with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect BLAIR LABUDOVICH on a map?
Expect Chesapeake, Virginia as a primary anchor for BLAIR LABUDOVICH unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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