Merlyn Blackwood, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009290 Issued in VA

Practice address

6325 N Center Dr Ste 208
Norfolk, VA 23502-0020

Phone

(757) 961-3255

Fax

(757) 961-3265

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Liberating Lives: Christian Counseling & Psychol

  • Professional Counselor
  • Norfolk, VA
  • NPI 1629370515
  NPD
• Unvaled Psychological PLLC

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1598275059

  Professional

  NPD (past)

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1902428782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 208",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020020",
            "telephone_number": "757-961-3255",
            "fax_number": "757-961-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 208",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020020",
            "telephone_number": "757-961-3255",
            "fax_number": "757-961-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "MERLYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Lauren Blackhurst, DMD
• Blackout Transportation LLC
• Kellie Blackwelder, RN
• Addison Leigh Blackwell
• Heather Stowe Blackwell, BCBA
• Billie Y. Blair-Taylor, M.D.
• Alison Blair, PA-C
• Nicole Blair, MD
• David P Blais, MD
• Annie Lou B Blakey, LCSW

• Professional Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.