MS. SUSAN CORBETT BLACKWELL (NPI# 1235153263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235153263 |
| Entity Type | Individual |
| Full Name | MS. SUSAN CORBETT BLACKWELL |
| Credential | L.P.C. |
| Practice Address |
7521 Virginia Oaks Dr Suite 200 Gainesville VA 20155-3831 |
| Mailing Address |
7001 Heritage Village Plz Gainesville VA 20155-3065 |
| Practice Telephone | 5402726431 |
| Practice Fax Number | 7037549168 |
| Mailing Telephone | 5402726431 |
| Mailing Fax Number | 7037549168 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003055 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | 084592 | 01 |
| VA | 5411807 | 05 | |
| VA | MAMSI | 289741 | 01 |
| VA | ANTHEM | 116527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861644502 | Susan Marie Blackwell | Occupational Therapy Assistant | 323 4th St, Slatington, PA 18080-1708 | 2008-10-14 |
| 1942335690 | Susan Joann Blackwell | Counselor | 310 S Prospect Ave Apt 7, Redondo Beach, CA 90277-3545 | 2007-02-22 |
| 1629148457 | Susan Blackwell | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-11-09 |
| Street Address |
7521 VIRGINIA OAKS DR SUITE 200 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316476161 | Colby Mussett | Podiatrist | 7521 Virginia Oaks Dr, Ste 104, Gainesville, VA 20155-3831 | 2017-06-06 |
| 1306383732 | Christopher Kirby | Physical Therapist | 7521 Virginia Oaks Dr, Suite 240, Gainesville, VA 20155-3831 | 2017-01-24 |
| 1053674697 | Batistas,chehade,davenport,pllc | Dentist | 7521 Virginia Oaks Dr, Suite 110, Gainesville, VA 20155-3831 | 2012-06-19 |
| 1043365752 | Gainesville Dental Associates | Dentist | 7521 Virginia Oaks Dr, Gainesville, VA 20155-3831 | 2007-01-24 |
| 1508917410 | Randy Joseph O'brien | Physical Therapist | 7521 Virginia Oaks Dr, Suite 240, Gainesville, VA 20155-3831 | 2007-01-16 |
| 1003967175 | Jennifer R Carter | Physical Therapist | 7521 Virginia Oaks Dr, Suite 204, Gainesville, VA 20155-3831 | 2007-01-16 |
| 1831269588 | Alvin Christian Castasus Amante | Dentist | 7521 Virginia Oaks Dr, Suite 210, Gainesville, VA 20155-3831 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101204 | Beyond The Couch, LLC | Counselor | 18138 Camdenhurst Dr, Gainesville, VA 20155-6240 | 2020-07-22 |
| 1063067445 | Sarah Elizabeth Shelton | Counselor | 701 E California St Ste 205, Gainesville, TX 76240-4162 | 2019-08-02 |
| 1447729546 | Megan Bentley | Counselor | 915c Interstate Ridge Dr # C, Gainesville, GA 30501-7051 | 2018-11-19 |
| 1821585969 | Brooke A Atkinson | Counselor | 3030 Mcever Rd Ste 110, Gainesville, GA 30504-5538 | 2018-04-14 |
| 1770099764 | Grant Talor Bright | Counselor | 2205 Old Hamilton Pl Ste 400, Gainesville, GA 30507-8052 | 2017-12-28 |
| 1598270266 | Katrina Deanne Armstrong | Counselor | 7150 Heritage Village Plz Ste 201, Gainesville, VA 20155-3064 | 2017-12-04 |
| 1477066017 | Piedmont Professional Counseling | Counselor | 8751 Buckland Mill Rd, Gainesville, VA 20155-2015 | 2017-11-06 |
| 1780195206 | Charlie's Second Chance Counseling, LLC | Counselor | 842 Oak St, Gainesville, GA 30501-3570 | 2017-10-24 |
| 1386181907 | Amanda Martin | Counselor | 1235 Riverside Dr Apt E3, Gainesville, GA 30501-1846 | 2017-01-20 |
| 1922550581 | Jennifer Victoria Page | Counselor | 1745 Thompson Bridge Rd, Gainesville, GA 30501-1717 | 2016-10-31 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on MS. SUSAN CORBETT BLACKWELL.
| 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.