MR. PETER RUSSELL BLACKMAN NPI 1609233907

NPI Information

  • NPI: 1609233907
  • Provider Name: MR. PETER RUSSELL BLACKMAN
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1140 SHIRLEY RD
    BUNKIE, LA
    ZIP 71322
  • Phone: (318) 346-8001

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NPI Details

MR. Peter Russell Blackman is a counselor in Bunkie, LA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Peter Russell Blackman NPI is 1609233907. 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:

1140 SHIRLEY RD
BUNKIE, LA
ZIP 71322-545
Phone: (318) 346-8001
Fax: (318) 346-8005

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/19/2016.

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
1101YM0800XCounselorMental Health1544761LOUISIANANo
2101Y00000XCounselor1544761LOUISIANAYes

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
11544761MEDICAIDLOUISIANA

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: 11/21/2025

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