Active NPI
Jill Surber Blackwell, LPC
- Professional Counselor
- Highlands Ranch, CO
National Provider Identifier
1750407367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1085
- Practice address
- 9139 Ridgeline Blvd
Highlands Ranch, CO 80129-2333 - Phone
- (303) 471-7727
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1085 | CO | Primary |
Addresses
Primary practice location
9139 Ridgeline Blvd
Highlands Ranch, CO 80129-2333
Mailing address
9139 S Ridgeline Blvd
Highlands Ranch, CO 80129
Phone (303) 471-7727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013563 | Other | KAISER-COMMERCIAL NUMBER |
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": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1750407367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9139 S RIDGELINE BLVD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "80129",
"telephone_number": "303-471-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9139 RIDGELINE BLVD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292333",
"telephone_number": "303-471-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURBER BLACKWELL",
"first_name": "JILL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "013563",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.