MR. JAMES EDWIN BLACKMON (NPI# 1376175521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376175521 |
| Entity Type | Individual |
| Full Name | MR. JAMES EDWIN BLACKMON |
| Credential | LPC |
| Practice Address |
210 E Main St Ste 2c Tupelo MS 38804-4017 |
| Mailing Address |
306 Timber Cv Oxford MS 38655-5871 |
| Practice Telephone | 6627600052 |
| Mailing Telephone | 6628010271 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0177 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662756 | James Blackmon | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2015-10-30 |
| 1538230362 | James Blackmon | Counselor | 6640 Long Point Rd, Houston, TX 77055-2633 | 2006-11-13 |
| Street Address |
210 E MAIN ST STE 2C |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838143 | Liria Peshkepia | Counselor | 1105 W Jackson St, Tupelo, MS 38804-2515 | 2020-10-13 |
| 1346847837 | Connection Counseling | Counselor | 336 N Green St, Tupelo, MS 38804-3828 | 2020-10-07 |
| 1093270613 | Holly Smith Rakestraw | Counselor | 813 Varsity Dr Ste 5, Tupelo, MS 38801-4694 | 2019-02-07 |
| 1497271837 | Terry V Timmons | Counselor | 1018 N Gloster St Ste F, Tupelo, MS 38804-1234 | 2017-08-17 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1144636598 | Russell Chumley | Counselor | 4579 South Eason Boulevard, Tupelo, MS 38801 | 2014-07-07 |
| 1487950978 | Sharon Gates-albert | Counselor | 1800 W Main St, Tupelo, MS 38801-3254 | 2011-02-01 |
| 1649890336 | Sandra Holmes | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2020-04-22 |
| 1477078558 | Brooklyn Michelle Sellers | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2017-08-09 |
| 1831627405 | Counseling for A Cause, LLC | Counselor | 1893 Cliff Gookin Blvd Ste B, Tupelo, MS 38801-6558 | 2017-05-26 |
| Find all providers in TUPELO | ||||
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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.