JAY BLACKWELL MA CPSW LMHC NPI 1063178440

NPI Information

NPI: 1063178440
Provider Name: JAY BLACKWELL, MA, CPSW, LMHC
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 652-4659
Get Directions

Jay Blackwell, MA, CPSW, LMHC is a peer specialist in Albuquerque, NM. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jay Blackwell, MA, CPSW, LMHC NPI is 1063178440. 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:

3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM
ZIP 87110-680
Phone: (505) 652-4659

The enumeration date for this NPI number is 11/10/2021 and was last updated on 2/23/2022.

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	101YM0800X	Counselor	Mental Health	CTL0223091	NEW MEXICO	No
2	175T00000X	Peer Specialist		1241	NEW MEXICO	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	CTL0223091	OTHER	NEW MEXICO	NM REGULATION AND LICENSING DEPARTMENT
2	1241	OTHER	NEW MEXICO	OFFICE OF PEER RECOVERY AND ENGAGEMENT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »