Corinne Blackmon, MA, LCMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11893 Issued in SC

Practice address

3210 N Pleasantburg Dr # 1096
Greenville, SC 29609-2925

Phone

(904) 440-0295

NPI assigned

Apr 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 8, 2025 through Oct 8, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1396440624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N PLEASANTBURG DR # 1096",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N PLEASANTBURG DR # 1096",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092925",
            "telephone_number": "904-440-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "CORINNE",
        "credential": "MA, LCMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0137122TELE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18358",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Cooper Black III, M.D.
• Joshua Daniel Black, DC
• Keith Black, DPT
• Tammy Lynn Black, NP
• Teonna Black
• Kevin Neely Blackmon, M.D.
• Charlaina Blackstock
• Barry C Blackston, M.D.
• Alice Blackwell, M.ED, E.DS., LPC-A
• Andrea K Blackwell, LCSW

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.