MEDICARE: AVERY ELIZABETH BLAIR-WILSON ATR, LPAT, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.2404691	OH

General Provider Information

NPI Number	:	1427915560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVERY ELIZABETH BLAIR-WILSON ATR, LPAT, LPCC

Provider Business Mailing Address
First Line	:	2223 CAMERON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3603
Country	:	US
Telephone Number	:	513-328-2252
Fax Number	:

Provider Business Practice Location Address
First Line	:	2125 WILLIAMS AVE
Second Line	:
City	:	NORWOOD
State	:	OH
Zip	:	45212-3851
Country	:	US
Telephone Number	:	513-328-2252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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