MR. BENJAMIN AMOS BLACKMON II (NPI# 1295074284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295074284 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN AMOS BLACKMON II |
| Practice Address |
111 Myrtle St Ste 102 Oakland CA 94607-2535 |
| Practice Telephone | 5108393800 |
| Mailing Telephone | 5108393800 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851480396 | Benjamin B Blackmon Jr. | Anesthesiology | Taylor At Mation St, Columbia, SC 29220-0001 | 2006-10-12 |
| Street Address |
111 MYRTLE ST STE 102 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326126855 | Sasha Lustgarten | Marriage & Family Therapist | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2006-11-01 |
| 1770833394 | George Charbak | Counselor | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2012-09-11 |
| 1063777555 | Elizabeth Virginia Gibson | Marriage & Family Therapist | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2012-07-10 |
| 1588937924 | Yesenia Giselle Selva Feustel | Counselor | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2012-02-15 |
| 1659669570 | Alejandro Jose Cardenas | Marriage & Family Therapist | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2011-07-12 |
| 1538465042 | Charles Washington Jr. | Marriage & Family Therapist | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2011-01-31 |
| 1164730552 | Alternative Family Services | Foster Care Agency | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2010-09-20 |
| 1871725390 | Oscar Trejo Baide | Social Worker | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2009-08-17 |
| 1225220007 | Denise Tarvins | Marriage & Family Therapist | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2007-08-15 |
| 1275737793 | Fanshen Thompson | Social Worker | 111 Myrtle St Ste 102, Oakland, CA 94607-2535 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1982218418 | Jill Patience Lahmann | Counselor | 1000 Broadway Ste 300, Oakland, CA 94607-4099 | 2020-09-02 |
| 1659983955 | Abigail Weintraub | Counselor | 625 Mariposa Ave, Oakland, CA 94610-1312 | 2020-08-18 |
| 1447871561 | Ronika Williams | Counselor | 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 | 2020-04-29 |
| 1699306092 | Bryon C Pickens | Counselor | 355 Bob White Rd, Oakland, TN 38060-4109 | 2020-02-04 |
| 1366082950 | La Tronda Shawna Lumpkins | Counselor | 8501 International Blvd, Oakland, CA 94621-1549 | 2020-01-10 |
| 1861033201 | Fatima Zahra Allam | Counselor | 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 | 2019-10-07 |
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1013472224 | Janay Green | Counselor | 6951 Lion Way Apt 302, Oakland, CA 94621-3368 | 2019-02-01 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.