Kimberly Blackman, QMHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3450 W Central Ave Ste 366G
Toledo, OH 43606-1416

Phone

(419) 531-2408

NPI assigned

Jun 30, 2021

Last updated

Sep 9, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1720658883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 366G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061416",
            "telephone_number": "517-673-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 366G",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061416",
            "telephone_number": "419-531-2408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Spielman Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492219276",
            "country_code": "US",
            "telephone_number": "517-673-0873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "KIMBERLY",
        "credential": "QMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Black, PT, DPT
• Sabrina Black, APRN
• Samuel Harvil Black
• Sanford Black, M.D.
• Raymond Claude Blackford, DDS
• Lillyan Blackman
• Harry L Blackmon, LPC
• Alyssa Blackmore
• Charlisa Blackshear
• Delbra A Blackshear

• Mental Health Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.