JOSEPH BLACKWELL M. S. NPI 1013387992

NPI Information

NPI: 1013387992
Provider Name: JOSEPH BLACKWELL, M. S.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6049 BROADWAY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 614-8446
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Joseph Blackwell, M. S. is a professional counselor in Merrillville, IN. Joseph Blackwell, M. S. NPI is 1013387992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6049 BROADWAY
MERRILLVILLE, IN
ZIP 46410-619
Phone: (219) 614-8446

The enumeration date for this NPI number is 10/5/2015 and was last updated on 10/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13618911	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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