Active NPI
Kathleen M Hartman Blackburn, LPCC, NCC
- Professional Counselor
- Cincinnati, OH
National Provider Identifier
1720245236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0004170
- Practice address
- 114 Wellington PL
Suite 2
Cincinnati, OH 45219-1736 - Phone
- (513) 621-3600
- Fax
- (513) 621-3613
- NPI assigned
- May 21, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0004170 | OH | |
| Professional Counselor | 101YP2500X | E0004170 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | E0004170 | OH |
Addresses
Primary practice location
114 Wellington PL
Suite 2
Cincinnati, OH 45219-1736
Mailing address
114 Wellington PL
Suite 2
Cincinnati, OH 45219-1736
Phone (513) 621-3600
Other names 1
- Kathleen M Blackburn
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 |
|---|---|---|---|
| E0004170 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conscious Living Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1588821003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1720245236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WELLINGTON PL",
"address_2": "SUITE 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452191736",
"telephone_number": "513-621-3600",
"fax_number": "513-621-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WELLINGTON PL",
"address_2": "SUITE 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452191736",
"telephone_number": "513-621-3600",
"fax_number": "513-621-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN BLACKBURN",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPCC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0004170",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0004170",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "E0004170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BLACKBURN",
"middle_name": "M",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.