Terra Jo Blackwell, MA, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10056 Issued in OK

Practice address

1120 E Main St
Norman, OK 73071-5300

Phone

(405) 360-5100

NPI assigned

Apr 4, 2007

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Oklahoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1427217470
  NPD
• Pathways Professional Counseling LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1043392558
  NPD (past)
• Pathways Treatment Services Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1790080562
  NPD (past)
• Poyner Mental Health Services

  • Mental Health Counselor
  • Choctaw, OK
  • NPI 1740845361
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1336261817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 NW 6TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731067202",
            "telephone_number": "405-842-7284",
            "fax_number": "405-418-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715300",
            "telephone_number": "405-360-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "TERRA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "10056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Blackburn
• Terry D. Blackburne, DDS, MSD
• Abigail Blackledge
• Jordan Blackwell
• Renee Maxine Blackwell, LPC
• Jean Renee Blackwood, M.A., LMFT CANDIDATE
• Martha Blaess, M.A., CF-SLP
• Amanda Blake
• Clinton Larry Blake, D.D.S.
• Donisha Blakely

• Mental Health Counselor in Norman, OK
• Providers in Norman, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.