MS. MARY CLAYTON BLACKWELL (NPI# 1841201852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841201852 |
| Entity Type | Individual |
| Full Name | MS. MARY CLAYTON BLACKWELL |
| Credential | LPC |
| Practice Address |
150 Linden Ave Lynchburg VA 24503-2010 |
| Mailing Address |
1541 Club Dr Lynchburg VA 24503-2556 |
| Practice Telephone | 4343843131 |
| Mailing Telephone | 4343848470 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701002858 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 164584 | 01 |
| VA | OPTIMA/SENTARA | 082329M | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619415254 | Mary Blackwell | Counselor | 5924 30th Ave W, Bradenton, FL 34209-6901 | 2017-02-02 |
| 1013396985 | Mary Blackwell | Dietitian, Registered | 3700 Tucker Dr, Greenville, NC 27858-6000 | 2015-05-26 |
| 1538141965 | Mary T Blackwell | Pediatrics | Dowling 3 South One Boston Medical Center Place, Child Health Foundation of Boston, Boston, MA 02118 | 2005-11-21 |
| Street Address |
150 LINDEN AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659398733 | Presbyterian Homes & Family Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2006-07-16 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1336615608 | Anna-rochelle C/o Anderson | Behavioral Analyst | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2018-10-15 |
| 1982180253 | Elizabeth Ann Jenks | Behavioral Analyst | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2018-07-19 |
| 1689183873 | Ryan Rosewell | Counselor | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2017-09-20 |
| 1427337450 | Presbyterian Homes & Family Services | Psychiatric Residential Treatment Facility | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2011-08-09 |
| 1841301512 | Nina Elizabeth Dillon | Counselor | 150 Linden Ave, Lynchburg, VA 24503-2010 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1437606092 | Deborah Opsal | Speech-Language Pathologist | 3300 Rivermont Ave, Outpatient Rehab Administration, Lynchburg, VA 24503 | 2016-09-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362097 | Erin Ashley Winters | Counselor | 371 Oakdale Cir, Lynchburg, VA 24502-7348 | 2020-10-07 |
| 1023635612 | Kaitlyn Alise Carney | Counselor | 1610 Graves Mill Rd Unit A, Lynchburg, VA 24502-4329 | 2020-06-29 |
| 1588206643 | Jennifer Leigh Owen | Counselor | 1621 Enterprise Dr, Lynchburg, VA 24502-5797 | 2019-10-10 |
| 1184273088 | Alicia Dominque Saunders | Counselor | 25 Lewis Way, Lynchburg, VA 24502-3607 | 2019-09-04 |
| 1891353835 | Robin Carol Conrad | Counselor | 2600 Memorial Ave Ste 103, Lynchburg, VA 24501-2658 | 2019-06-04 |
| 1033684899 | Krystal Jade Mattox | Counselor | 1621 Enterprise Dr Ofc 5, Lynchburg, VA 24502-5797 | 2018-10-09 |
| 1205301116 | Resto Family Services | Counselor | 117a Tradewynd Dr Ste 115a, Lynchburg, VA 24502-3112 | 2018-10-06 |
| 1538659669 | Taylor Hiers | Counselor | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2018-05-15 |
| 1427551514 | Safe Haven Counseling, Inc. | Counselor | 642 Crowell Ln, Lynchburg, VA 24502-5572 | 2018-03-14 |
| 1376086827 | Michelle Dillan Smith | Counselor | 22174 Timberlake Road, Suite D, Lynchburg, VA 24502 | 2016-11-30 |
| Find all providers in LYNCHBURG | ||||
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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.