Arthnel Anthony Blackwood

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1886 Clay Dr SW
Marietta, GA 30064-6000

Phone

(678) 520-5917

NPI assigned

Dec 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1033877600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 CLAY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646000",
            "telephone_number": "678-520-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 CLAY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646000",
            "telephone_number": "678-520-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "ARTHNEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anthony@beautifuldreamers.org",
            "affiliation": "N",
            "endpointDescription": "counselling  office",
            "address_1": "1886 Clay Dr SW",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300646000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua D Blackmon, M.ED.,CCC
• Sarah Turner Blackstock, AGACNP-BC
• Blackstone Health Services LLC
• Earlean Blackwell
• Lynn Parker Blackwell, RN
• Lisa Anne Blackwood, OT
• Steven Eric Blackwood, MD
• Nydia M Bladuell, M.D.
• Novell Blain, LPC
• Henry Kime Blair, DMD

• Pastoral Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.