LISA BLACKWOOD (NPI# 1720139769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720139769 |
| Entity Type | Individual |
| Full Name | LISA BLACKWOOD |
| Credential | LPC |
| Practice Address |
5425a Burnet Rd Austin TX 78756-1627 |
| Mailing Address |
7929 Snook Hook Trl Austin TX 78729-4924 |
| Practice Telephone | 5124517337 |
| Practice Fax Number | 5124518729 |
| Mailing Telephone | 5124517337 |
| Mailing Fax Number | 5124518729 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4065 | TX | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
19803 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 8433BH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760749683 | Lisa Ann Blackwood | Dermatology | 3455 S Yarrow St, Lakewood, CO 80227 | 2012-04-17 |
| 1912298191 | Lisa Renee Blackwood | Specialist | 132 Village Center Rd, Harlan, KY 40831 | 2011-04-22 |
| Street Address |
5425A BURNET RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306997341 | Janelle Curlin-taylor | Marriage & Family Therapist | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-01-16 |
| 1215166772 | Kenneth J Fries | Social Worker | 5425a Burnet Rd, Austin, TX 78756-1627 | 2009-07-06 |
| 1518196047 | David M Scheider | Marriage & Family Therapist | 5425a Burnet Rd, Austin, TX 78756-1627 | 2009-07-06 |
| 1740427970 | Susanne Comer | Social Worker | 5425a Burnet Rd, Austin, TX 78756-1627 | 2009-01-09 |
| 1255596763 | Armando Hernandez | Marriage & Family Therapist | 5425a Burnet Rd, Austin, TX 78756-1627 | 2008-07-23 |
| 1821204819 | Marsha Legrand | Counselor | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-05-15 |
| 1184753956 | Kathleen Barrett | Counselor | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-03-05 |
| 1720115215 | Ann Elizabeth Wood | Counselor | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-02-28 |
| 1144365818 | Diane Miles | Counselor | 5425a Burnet Rd, Austin, TX 78756-1627 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on LISA BLACKWOOD.
| 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.