Jordyn Blackwell

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

739 E 95TH St
Los Angeles, CA 90002-1916

Phone

(310) 462-3752

NPI assigned

Jan 15, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1194683292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E 95TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900021916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 E 95TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900021916",
            "telephone_number": "310-462-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JORDYN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Blackstone
• Norma Lynn Blackwater, M.D.
• Thomasina Blackwater, MD
• April Nicole Blackwell, AMFT, APCC
• Caroline Anissa Blackwell, L.C.S.W.
• Katrina Blackwell, LCSW
• Keith Edward Blackwell, MD
• Keiyana Janae Blackwell, LVN
• Mya Blackwell
• Pamela S Blackwell

• Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.