Karen M Blackwell, LMFT LISAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Winslow, AZ

NPI 1659326262 · NPPES record last updated Jul 13, 2026

Key facts

NPI: 1659326262
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: LISAC10962 (AZ)
Practice address: 211 E Third St
Winslow, AZ 86047-3802
Phone: (928) 289-4658
Fax: (928) 289-3775
NPI assigned: May 23, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Changepoint Integrated Health Mental Health Clinic/Center (Including Community Mental Health Center) · Show Low, AZ · NPI 1689212508

NPD (past)
Community Counseling Centers Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Winslow, AZ · NPI 1669413175

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LISAC10962	AZ	MD	Addiction (Substance Use Disorder) Counselor
LMFT10163	AZ	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Changepoint Integrated Health		Past	Accepting new patients
Community Counseling Centers Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LISAC10962	AZ	Yes
Marriage & Family Therapist	106H00000X	LMFT10163	AZ

Addresses

Primary practice location

211 E Third St
Winslow, AZ 86047-3802

Mailing address

211 E Third St
Winslow, AZ 86047-3802
Phone (928) 289-4658

Other identifiers

Identifier	Type	State	Issuer
851403	Other	AZ	AHCCCS

Other names

Karen Larson Former name

Other providers in Winslow, AZ

Subhash Chander Bhardwaj, PHARMD
Bio-Medical Applications of Arizona, LLC
Karen Lillian Bishop, FNP
Elizabeth A. Blackgoat, RN
Darrin Blackman, DDS
Christy Lonnette Blissett, RN
Robin Robert Boyd, DDS
Michael Brathwaite, FNP-C
Sarah Jane Brobeck, D.D.S.
Brian A Bucina, D.O.

All providers in Winslow, AZ · Addiction (Substance Use Disorder) Counselor in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.