Judith Blackstone, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000388 Issued in NY

Practice address

14 E 4TH St
C/O Carol Glassman, Suite 407
New York, NY 10012-1155

Phone

(914) 388-4714

NPI assigned

Aug 12, 2006

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366454233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124988209",
            "telephone_number": "845-679-7005",
            "fax_number": "845-679-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 4TH ST",
            "address_2": "C/O CAROL GLASSMAN, SUITE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121155",
            "telephone_number": "914-388-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTONE",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Blackmon
• Shane Anthony Blackmore, MD
• Erica Blacksburg, MS, RD, CDN
• Zoe Blacksin, MD
• Daryle Marc Blackstock, PHYSICIAN ASSISTANT
• Robin Leigh Pavlich Blackstone, MD
• Delores Blackwell, LCSW
• Princess Nailah Blackwell
• Renee Denise Blackwell, LMSW
• Bjorn Montevanne Blackwood, MD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• 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.