Active NPI
Lynn Blackbourn, LPC
- Counselor
- Fitchburg, WI
National Provider Identifier
1740771369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3905
- Practice address
- 2961 Yarmouth Greenway Dr
St 2
Fitchburg, WI 53711-5809 - Phone
- (608) 709-9672
- Fax
- (608) 416-1535
- NPI assigned
- May 21, 2018
- Last updated
- May 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3905 | WI | Primary |
Addresses
Primary practice location
2961 Yarmouth Greenway Dr
St 2
Fitchburg, WI 53711-5809
Mailing address
2961 Yarmouth Greenway Dr
St 2
Fitchburg, WI 53711-5809
Phone (608) 709-9672
Other names 1
- Lynn Christy
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1740771369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 YARMOUTH GREENWAY DR",
"address_2": "ST 2",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115809",
"telephone_number": "608-709-9672",
"fax_number": "608-416-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2961 YARMOUTH GREENWAY DR",
"address_2": "ST 2",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115809",
"telephone_number": "608-709-9672",
"fax_number": "608-416-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBOURN",
"first_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "3905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "CHRISTY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fitchburg, WI
- Katie Karen Betry, MOT, OTR/L
- Gauri Bhutani, M.D.
- Kenneth Paul Bichell, RN
- Bio-Medical Applications of Wisconsin, Inc. (Fresenius Medical Care Madison Capitol)
- Birch Tree Mental Health Services
- Blackstone Therapy, LLC
- Guy Blackstone, LPC, CRC
- Tracy Fey Blackstone, MS, CRC, LPC, ASDCS
- Natalie M Blonien, PT
- Blue Star Transit LLC (premier Care llc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.