Lisa Blackwood, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4065 Issued in TX

Practice address

5425A Burnet Rd
Austin, TX 78756-1627

Phone

(512) 451-7337

Fax

(512) 451-8729

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 7, 2024 through May 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Samaritan Center for Counseling and Pastoral Care, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1801936133
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720139769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 SNOOK HOOK TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294924",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425A BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561627",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4065",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8433BH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blackwelder Optometry, PLLC
• Sarah Blackwelder, OD
• Charles D Blackwell, PHARM. D.
• Jillian Leah Blackwell, PHARMD
• Rebecca J Blackwell
• Tiara Blackwood
• Kelsey Blahnik, LCSW
• Blair Kott Nutrition
• Bethany Blair
• Stephen D Blair, MD

• Addiction (Substance Use Disorder) Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.