KEITH ALLEN BLACKWELL (NPI# 1912380437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912380437 |
| Entity Type | Individual |
| Full Name | KEITH ALLEN BLACKWELL |
| Practice Address |
42455 10th St W Ste 103 Lancaster CA 93534-7060 |
| Practice Telephone | 6613413900 |
| Mailing Telephone | 6613413900 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 122399 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 1912380437 | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44285 Lowtree Ave, Lancaster, CA 935344170 | 6613413900 | |
| 506 W Jackman St, Lancaster, CA 935342531 | 6617262850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649531328 | Keith Blackwell | Physical Therapist | 150 Shelton Mcmurphey Blvd Ste 203, Eugene, OR 97401-5017 | 2012-05-30 |
| 1669496964 | Keith Edward Blackwell | Otolaryngology | 200 Medical Plz, #550, Los Angeles, CA 90095-0001 | 2006-07-27 |
| Street Address |
42455 10TH ST W STE 103 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306979042 | Tyeast Monique Brown | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2007-03-13 |
| 1528683521 | Alejandra Engelberg | Student in an Organized Health Care Education/Training Program | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2020-06-15 |
| 1992360291 | Marykatherine Elaine Jackson | Student in an Organized Health Care Education/Training Program | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2019-05-02 |
| 1609332618 | Maria Cristina Bartlett | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2019-02-14 |
| 1134606791 | Emily Cortez | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2018-07-25 |
| 1538645296 | Karla M Lima | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2018-07-16 |
| 1144730318 | Susannah Ruth Reynolds | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2017-10-02 |
| 1225436132 | Marilyn Mireya Ramirez-torres | Counselor | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2014-12-09 |
| 1275933087 | Susana Franco | Marriage & Family Therapist | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2014-08-28 |
| 1912287954 | Patricia Franco Mora | Counselor | 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726585 | Tina Ross | Marriage & Family Therapist | 1804 Harlow Ct, Lancaster, CA 93534-5140 | 2020-06-30 |
| 1689205445 | Help for Heroes | Marriage & Family Therapist | 104 E Avenue K4 Ste B, Lancaster, CA 93535-4678 | 2020-01-30 |
| 1346889698 | Nancy Marie Miller | Marriage & Family Therapist | 1429 N Bluegrove Rd, Lancaster, TX 75134-2937 | 2020-01-04 |
| 1942867098 | Megan Marie Malick | Marriage & Family Therapist | 342 N Queen St, Lancaster, PA 17603-3072 | 2019-05-23 |
| 1417414772 | Ashley Himmelstern | Marriage & Family Therapist | 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534-2303 | 2019-02-22 |
| 1083152870 | Juline Hobson | Marriage & Family Therapist | 2010 W Avenue K # V112, Lancaster, CA 93536-5229 | 2017-02-01 |
| 1710376637 | Lina Vielma | Marriage & Family Therapist | 43423 Division St Ste 401, Lancaster, CA 93535-4641 | 2015-01-15 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1134545445 | Jeff Bare LLC | Marriage & Family Therapist | 600 Olde Hickory Rd, Suite 220, Lancaster, PA 17601-4959 | 2014-03-11 |
| 1609135060 | Maricela Reyes | Marriage & Family Therapist | 314 E Avenue K4, Lancaster, CA 93535-4689 | 2012-05-04 |
| Find all providers in LANCASTER | ||||
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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.