Bill Neff Blackmon Jr.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2062 Issued in TX

Practice address

3508 Andover Dr
Bedford, TX 76021-2926

Phone

(817) 781-0188

NPI assigned

Mar 30, 2011

Last updated

Mar 30, 2011By the provider in NPPES

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

Other names 1

• Bill Neff Blackmon Jr. Professional name

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1154610103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 ANDOVER DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 ANDOVER DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212926",
            "telephone_number": "817-781-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "BILL",
        "middle_name": "NEFF",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "BLACKMON",
            "middle_name": "NEFF",
            "suffix": "JR.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven M Biorn, PT
• Birch Medical & Wellness
• Ashley N. Bixel, RD, LD
• Bailey Black, D.C.
• Samantha Monique Black, MD
• Destiney Blackwell
• Lisa Blecher, M.S., CCC-SLP
• Neeraja Jagannadham Boddu, M.D.
• Patricia Spears Boersma, LCSW
• David James Bohannan, DMD

• Marriage & Family Therapist in Bedford, TX
• Providers in Bedford, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.