Craig Blackard, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C5464. Issued in OR

Practice address

600 Siskiyou Blvd
Ashland, OR 97520-2140

Phone

(970) 222-3430

NPI assigned

Mar 5, 2019

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1275091571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202140",
            "telephone_number": "970-222-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202140",
            "telephone_number": "970-222-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975013016",
            "country_code": "US",
            "telephone_number": "541-734-5437 x1021",
            "fax_number": "541-618-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKARD",
        "first_name": "CRAIG",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5464.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Birch
• Elizabeth Ann Birmingham, M.A. CCC-SLP
• Craig Rodney Bittinger, M.A.
• Kristin Kaijah Bjorklund, LPC
• Amaleah Black-Smiley, BA, RSME, GCFP
• Abigail Blinn, BS, RDN
• Blue Flame Counseling
• Blue Lotus Behavioral Health LLC
• Nancy Whitefield Blum, M.A., CHT
• Steven Bobsin

• Mental Health Counselor in Ashland, OR
• Providers in Ashland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.