Teresa Elaine Blackburn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010795 Issued in PA

Practice address

200 High Tower Blvd Ste 306
Pittsburgh, PA 15205-1135

Phone

(740) 461-4829

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1013486208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S AVALON DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533706",
            "telephone_number": "740-461-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH TOWER BLVD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051135",
            "telephone_number": "740-461-4829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Forbes Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195140",
            "country_code": "US",
            "telephone_number": "412-363-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "TERESA",
        "middle_name": "ELAINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith S Black, M.D.,M.H.A.
• Kirby Black, MD
• Mark Isaac Black, PHARM.D., RPH
• Matthew Crittenden Black
• Sherita Blackburn
• Elizabeth Blackhurst, LCSW
• Jeffrey A Blackhurst, CRNA
• Sheava Kimberly Blackman, PHARMD
• Danielle Nicole Blackwell, PA-C
• Sarah Blackwell, MD

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.