Shawne a Blackburn LPCC Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHAWNE A BLACKBURN LPCC COUNSELING LLC

Practice address

6604 Beau Chene NE
Albuquerque, NM 87111-6500

Phone

(505) 263-3900

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Shawne A. Blackburn, LPCCNPI 1811057789

Title

Owner/Registered Agent

Phone

(505) 263-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawne Ann Blackburn, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1811057789
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1336907922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 BEAU CHENE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116500",
            "telephone_number": "505-263-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 BEAU CHENE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116500",
            "telephone_number": "505-263-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNE A BLACKBURN LPCC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "SHAWNE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/REGISTERED AGENT",
        "authorized_official_telephone_number": "505-263-3900",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Shaw, PHARMD
• Malinda Shaw
• Micah Shaw, PA-C
• Rachelle L Shaw, DDS PC
• Shawn'S Enterprises
• Lindsey Miran Shay, RDH, BS
• Shayna Yedra-Schaefer
• Tanya Shearer, BSW
• Dallas R Sheckler, PA
• Megan M Shedd, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.