Active NPI
Karen M Blackwell, LMFT LISAC
- Addiction (Substance Use Disorder) Counselor
- Winslow, AZ
National Provider Identifier
1659326262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC10962
- Practice address
- 211 E Third St
Winslow, AZ 86047-3802 - Phone
- (928) 289-4658
- Fax
- (928) 289-3775
- NPI assigned
- May 23, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC10962 | AZ | Primary |
| 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 names 1
- Karen Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
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 |
|---|---|---|---|
| Community Counseling Centers Inc | Past | Accepting new patients | |
| Changepoint Integrated Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Show Low, AZ
- NPI 1689212508
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winslow, AZ
- NPI 1669413175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659326262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E THIRD ST",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860473802",
"telephone_number": "928-289-4658",
"fax_number": "928-289-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E THIRD ST",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860473802",
"telephone_number": "928-289-4658",
"fax_number": "928-289-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "KAREN",
"middle_name": "M",
"credential": "LMFT LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC10962",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT10163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "LARSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winslow, AZ
- Subhash Chander Bhardwaj, PHARMD
- Bio-Medical Applications of Arizona, LLC (Bma Winslow Dialysis Center)
- 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.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.