MS. JENNIFER LYNN BLACKMON (NPI# 1629633581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629633581 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN BLACKMON |
| Other Name | JENNIFER LYNN HICKMAN |
| Practice Address |
1313 Cutting Blvd Richmond CA 94804-2554 |
| Practice Telephone | 5102320874 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1871865865 | Jennifer Blackmon | Chiropractor | 700 19th St Ste 105, Virginia Beach, VA 23451-4100 | 2012-02-06 |
| 1225218340 | Jennifer Susan Blackmon | Social Worker | 507 Broadway, Kingston, NY 12401-3919 | 2007-11-06 |
| Street Address |
1313 CUTTING BLVD |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730226473 | Addiction Research and Treatment, Inc | Clinic/Center | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2007-01-31 |
| 1841890308 | Shaheeda S Yasin | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2020-10-26 |
| 1972158095 | Kellis Brexter Love Sr. | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2019-08-06 |
| 1043780232 | Andrea Frances Sculley | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2018-11-29 |
| 1437635232 | Michaela Meclgartland | Registered Nurse | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2018-07-14 |
| 1528554862 | Anthony Todd Burdge | Licensed Psychiatric Technician | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2018-07-10 |
| 1083103493 | Kathryn Christine Brown | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2018-05-02 |
| 1891217279 | Claudia L Dominguez | Counselor | 1313 Cutting Blvd, Richmond, CA 94804 | 2017-07-07 |
| 1316483522 | Marisol Berumen | Counselor | 1313 Cutting Blvd, Richmond, CA 94804 | 2017-01-11 |
| 1093264582 | Ma Patricia Ronquillo | Counselor | 1313 Cutting Blvd, Richmond, CA 94804-2554 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640790 | Cindy Beardsley | Counselor | 3414 Solano Ave, Richmond, CA 94805-1745 | 2020-08-17 |
| 1972114585 | Lynn Nicole Thompson | Counselor | 1621 Foxhaven Dr, Richmond, KY 40475-1056 | 2020-08-17 |
| 1346867058 | Kristin Fitzgerald | Counselor | 2320 Broad Rock Blvd, Richmond, VA 23224-4812 | 2020-06-29 |
| 1891317269 | Padme Wellness, LLC | Counselor | 704 N 1st St, Richmond, VA 23219-1310 | 2020-05-08 |
| 1548891740 | Jeanne Evelyn Pizzagrani I | Counselor | 2355 Lancaster Dr Apt 7, Richmond, CA 94806-3046 | 2020-01-28 |
| 1518445204 | Crystal Lester-lewis | Counselor | 4325 Mylan Rd, Richmond, VA 23223-2273 | 2018-08-03 |
| 1972098416 | Rachelle Raquel Valenzuela | Counselor | 666 38th St, Richmond, CA 94805-1702 | 2018-06-27 |
| 1144724964 | Natalie Orme Waters | Counselor | 681 Hioaks Rd Ste C&j, Richmond, VA 23225-4043 | 2018-03-19 |
| 1669974358 | Kisha Monique Jones | Counselor | 208 23rd St, Richmond, CA 94804-1830 | 2018-03-08 |
| 1659889723 | Karon Harris | Counselor | 9609 Jefferson Davis Highway, Richmond, VA 23237 | 2018-01-11 |
| Find all providers in RICHMOND | ||||
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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.