Beth L Blacknall, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004603 Issued in WA

Practice address

4979 Purdue Ave NE
Seattle, WA 98105-2145

Phone

(206) 522-6151

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356559652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 PURDUE AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052145",
            "telephone_number": "206-522-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 PURDUE AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052145",
            "telephone_number": "206-522-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKNALL",
        "first_name": "BETH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi R. Blackie, OTR/L, CHT
• Christopher Craig Blackmore
• Emily Blackmore, RN
• Jacqueline Amara Ellen Blackmore
• Sara Blackmur, MSW, LICSW
• Teresa Lynn Blackwell, NP
• Katherine Blagden, MSW
• Edward G Blahous Jr., D.P.M.
• Michela Blain, M.D.
• Sarah Kathryn Blaine, MD

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.