THOMAS BLACKBURN (NPI# 1437771730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437771730 |
| Entity Type | Individual |
| Full Name | THOMAS BLACKBURN |
| Credential | PSS |
| Practice Address |
209 Davis Rd Mt Sterling KY 40353-9549 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 8594986574 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548319189 | Thomas Jobe Blackburn | Pharmacist | 1211 Minnesota Ave, Natrona Heights, PA 15065-1029 | 2007-01-10 |
| 1164582136 | Thomas H Blackburn | Dentist | 112 Falcon Drive, Fredericksburg, VA 22408 | 2006-12-11 |
| 1255687554 | Thomas Blackburn Iv | Optometrist | 7020 Six Forks Rd, Raleigh, NC 27615-6430 | 2012-07-24 |
| Street Address |
209 DAVIS RD |
| City | MT STERLING |
| State | KY |
| Zip Code | 40353-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174651327 | Ada Rose Braun | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2007-03-01 |
| 1881204030 | Sidney Patrick Kibbey | Peer Specialist | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-08-03 |
| 1992313589 | Donald Patterson | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-07-20 |
| 1144844333 | James Baker | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1811511041 | Jessica Charles | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1033733522 | April Holbert | Registered Nurse | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-01 |
| 1780207175 | Daniel Lanham | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-20 |
| 1023639887 | Richard Coe | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-04 |
| 1821619586 | Kimberly Rayburn | Registered Nurse | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-04 |
| 1730719956 | Alicia Martin | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922388339 | Cynthia Gilbert | Counselor | 37 North Maysville Street, Mt Sterling, KY 40353-9769 | 2011-08-17 |
| 1740430693 | John High | Counselor | 2479 Grassy Lick Road, Mt Sterling, KY 40353 | 2008-09-29 |
| 1619015468 | Hattie Howard | Counselor | 211 Adena Dr, Ste F234, Mt Sterling, KY 40353 | 2007-02-02 |
| 1992313589 | Donald Patterson | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-07-20 |
| 1144844333 | James Baker | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1811511041 | Jessica Charles | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-06-03 |
| 1780207175 | Daniel Lanham | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-20 |
| 1023639887 | Richard Coe | Counselor | 209 Davis Rd, Mt Sterling, KY 40353-9549 | 2020-05-04 |
| 1548898737 | Kaitlyn French | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-04-01 |
| 1083248199 | Colleen Sexton | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2020-02-27 |
| Find all providers in MT STERLING | ||||
| City | MT STERLING |
| Zip Code | 40353 |
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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.