Blackburn Clinical Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLACKBURN CLINICAL SERVICES, LLC

Practice address

12326 Venice Blvd
Los Angeles, CA 90066-3802

Phone

(888) 870-7405

NPI assigned

May 13, 2025

Organization subpart

No

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

Authorized official

Name

Nadea McPherson

Title

Ceo

Phone

(424) 245-5052

Specialties & licenses 2

Addresses

Other names 1

• Blackburn Clinical Services Other name

Locations

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1831980671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12326 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663802",
            "telephone_number": "888-870-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12326 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663802",
            "telephone_number": "888-870-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "NADEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-245-5052"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackburn Clinical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keith William Black
• Mitzen Black, PSYD
• Neda R Black, M.D.
• Ronnesha Unique Black
• Tahje Milan Black
• Allie Kieran Blackburn, M.D.
• Brenda Kathleen Blackburn
• Scott Kristopher Blackburn, LMFT
• Tiana Blackburn, PSYD CANDIDATE
• David Blacker, MA

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.