Mumina Blackman, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5170 E. 65TH Street
Suite 107
Indianapolis, IN 46220

Phone

(317) 223-6057

Fax

(317) 845-8476

NPI assigned

Nov 11, 2010

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

Credentials

Master of Education

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1467753178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 E 65TH ST",
            "address_2": "SUITE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204892",
            "telephone_number": "317-223-6057",
            "fax_number": "317-845-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 E. 65TH STREET",
            "address_2": "SUITE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-223-6057",
            "fax_number": "317-845-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "MUMINA",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesley V Blackburn
• Mary Blackburn, C.N.M.
• Sally Elizabeth Blackburn
• Travis Blackburn
• Evette Blackman, LCSW
• Brianna A Blackmon, MSW, M.ED
• Kayla Christine Blackmon, MS
• Sirrilla Denise Blackmon, LCSW
• Tracey Blackmore, PT
• Lynda Lawrence Blackwelder, LMFT

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.