Jason Blackledge, CIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CIT-5595 Issued in LA

Practice address

9171 Cockerham Rd
Denham Springs, LA 70726-2255

Phone

(255) 235-1242

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1467239590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 COCKERHAM RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262255",
            "telephone_number": "255-235-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 COCKERHAM RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707262255",
            "telephone_number": "255-235-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLEDGE",
        "first_name": "JASON",
        "credential": "CIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "CIT-5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Bindom
• Bio-Medical Applications of Louisiana, LLC (Fresenius Medical Care Denham Springs)
• Ryan Margaret Birke
• Jennifer Black
• Donna Miley Blackburn, L.P.C.
• Jennifer Elizabeth Blackwell, LPN
• Adrian Blake
• McCall Blank
• Bloom Neuro Physical Therapy and Wellness, LLC
• Corbyn D'Ann Blouin

• Addiction (Substance Use Disorder) Counselor in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.