Joseph Blackwell, M. S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

6049 Broadway
Merrillville, IN 46410-2619

Phone

(219) 614-8446

NPI assigned

Oct 5, 2015

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1013387992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 PLAZA AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463686515",
            "telephone_number": "219-614-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102619",
            "telephone_number": "219-614-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JOSEPH",
        "credential": "M. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13618911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiana Black-Adams
• Brianna E. Black
• Linda Joyce Black
• Shawniece Black, RN
• Deidre Blackwell
• Bethany Kaylyn Blaga, MA
• Kanisha Blake, RBT
• Jill Blanchard
• Provedencia Blanchard, MSW
• Adrienne Bland

• All providers in Merrillville, IN
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.