Haley Bruton Blackmon, LPC
Individual provider Active NPI Professional Counselor · Santo, TX
NPI 1932069218 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1932069218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 90059 (TX)
- Practice address
- 800 Carter LN
Santo, TX 76472-3213 - Phone
- (940) 445-7574
- NPI assigned
- Nov 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90059 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 90059 | TX | Yes |
Addresses
Primary practice location
800 Carter LN
Santo, TX 76472-3213
Mailing address
800 Carter LN
Santo, TX 76472-3213
Other providers in Santo, TX
- Kimberly Ann Jones
- Palo Pinto County Hospital District
- Santo Volunteer Fire and EMS Department
- Sara Shelton
- The Mobile PT, LLC
All providers in Santo, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.