Individual provider Active NPI

Clare Ellen Blackburn, LPC, LMFT

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1083682306
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
070 Issued in OK
Practice address
5700 N Portland Ave
Ste. 315
Oklahoma City, OK 73112-1662
Phone
(405) 949-2593
Fax
(405) 942-1633
NPI assigned
Mar 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3011 OK
Marriage & Family Therapist 106H00000X 070 OK Primary

Addresses

Primary practice location

5700 N Portland Ave
Ste. 315
Oklahoma City, OK 73112-1662

Mailing address

5700 N Portland Ave
Ste. 315
Oklahoma City, OK 73112-1662
Phone (405) 949-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070OKMDMarriage & Family Therapist
3011OKMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083682306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE",
            "address_2": "STE. 315",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121662",
            "telephone_number": "405-949-2593",
            "fax_number": "405-942-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N PORTLAND AVE",
            "address_2": "STE. 315",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121662",
            "telephone_number": "405-949-2593",
            "fax_number": "405-942-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "CLARE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.