Marie Joelle Blackman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

016664 Issued in NY

Practice address

1919 Hazen St
East Elmhurst, NY 11370-1210

Phone

(718) 809-2388

NPI assigned

Jul 15, 2026

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

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1407776099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 STANLEY PL",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652519",
            "telephone_number": "718-809-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701210",
            "telephone_number": "718-809-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "MARIE",
        "middle_name": "JOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "016664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bellott
• Maria Zaida Beltran, F.N.P.-R.N.B.C.
• Vilma Benavides-Naranjo, RN
• Kathy Lynn Biersack, M.D.
• Ahasan Billah
• Rafaela Peres Boaventura
• Jennifer Alyssa Bonelli, M.S., CCC-SLP
• Rupinder Kaur Brar, M.D
• Luisa Adriana Bravo, M.S.
• Leslie James Brown, CASAC-T

• Mental Health Counselor in East Elmhurst, NY
• Providers in East Elmhurst, 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 15, 2026; 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.