AMANDA L BLACKBURN (NPI# 1922328319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922328319 |
| Entity Type | Individual |
| Full Name | AMANDA L BLACKBURN |
| Credential | LMFT, CADC |
| Practice Address |
401 E Chestnut St Suite 610 Louisville KY 40202-5700 |
| Practice Telephone | 5028136600 |
| Mailing Telephone | 5028136600 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1106 | KY | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 0824 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICNESED MARRIAGE AND FAMILY THERAPIST | 0824 | 01 |
| KY | CERTIFIED ALCOHOL AND ADDICTION COUNSELOR | 1106 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912994260 | Amanda J. Blackburn | Internal Medicine | 1484 Lakeside Dr, Jackson, KY 41339-6555 | 2005-10-03 |
| 1447563952 | Amanda Blackburn | Pharmacist | 1420 W Stone Dr, Kingsport, TN 37660-2522 | 2010-07-26 |
| 1104156850 | Amanda Blackburn | Counselor | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2009-12-31 |
| Street Address |
401 E CHESTNUT ST SUITE 610 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832961 | Janice S Fiechter | Nurse Practitioner | 401 E Chestnut St, Ste, Louisville, KY 40202-5700 | 2005-06-27 |
| 1548871932 | Stephen Andrew Zeller | Occupational Therapist | 401 E Chestnut St, Louisville, KY 40202-5700 | 2020-08-11 |
| 1992266993 | Laura Cordonnier | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St, Louisville, KY 40202-5700 | 2019-03-31 |
| 1902372972 | Shae Daniel Morgan | Audiologist | 401 E Chestnut St, Louisville, KY 40202-5700 | 2018-10-17 |
| 1538699277 | Mary Edith Hill | Nurse Practitioner | 401 E Chestnut St, Louisville, KY 40202 | 2017-06-15 |
| 1578097846 | Christopher Lombardi | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St, Ste. 610, Louisville, KY 40202-5700 | 2017-04-13 |
| 1902352784 | Wasan Amornsang | Dentist | 401 E Chestnut St, Suite 550, Louisville, KY 40202-5700 | 2016-08-31 |
| 1972959617 | Garwen Chen | Psychiatry & Neurology | 401 E Chestnut St, Suite 600, Louisville, KY 40202-5700 | 2016-05-12 |
| 1184088163 | Souzana Alkhouri | Psychiatry & Neurology | 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 | 2016-04-06 |
| 1144684127 | Linda Webster | Counselor | 401 E Chestnut St, Suite 610, Louisville, KY 40202-5700 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1801408497 | Laura M Green | Marriage & Family Therapist | 3013 Vogue Ave, Louisville, KY 40220-2533 | 2020-08-17 |
| 1841818820 | Amanda L Huff | Marriage & Family Therapist | 5512 Hames Trce Apt 569, Louisville, KY 40291-2067 | 2020-07-07 |
| 1265052153 | Jessica Craven | Marriage & Family Therapist | 5500 Matterhorn Dr, Louisville, KY 40216-1327 | 2020-04-21 |
| 1609404227 | Don P Delafield | Marriage & Family Therapist | 731 Speckman Rd, Louisville, KY 40243-2826 | 2020-03-30 |
| 1932739869 | Sara Ann Semenick | Marriage & Family Therapist | 800 Lily Creek Rd Ste 201, Louisville, KY 40243-2811 | 2020-01-20 |
| 1417594334 | Shawn L Stinson Sr. | Marriage & Family Therapist | 201 S Peterson Ave, Louisville, KY 40206-2573 | 2019-12-10 |
| 1861034977 | Cheryl Rosa Gilbert | Marriage & Family Therapist | 8815 Lakeridge Dr, Louisville, KY 40272-2405 | 2019-10-09 |
| 1144876079 | Karen Rawlings | Marriage & Family Therapist | 600 E Oak St, Louisville, KY 40203-3463 | 2019-08-15 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1922668771 | Sean Brooks | Marriage & Family Therapist | 800 Lily Creek Rd Ste 202, Louisville, KY 40243-2811 | 2019-06-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on AMANDA L BLACKBURN.
| 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.