Clare Ellen Blackburn, LPC, LMFT

Individual provider Active NPI Marriage & Family Therapist · Oklahoma City, OK

NPI 1083682306 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1083682306
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
070 (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
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
070OKMDMarriage & Family Therapist
3011OKMDOptometrist

Specialties & licenses

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

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

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Marriage & Family Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.