Organization Active NPI

Blackage, LLC

Doing business as Blackage Optimal Wellness

  • Prevention Professional
  • New York, NY
National Provider Identifier
1982461380
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
BLACKAGE, LLC
Doing business as
On Point Photography
Practice address
320 Central Park W Unit 18B
New York, NY 10025-7659
Phone
(916) 779-9212
NPI assigned
Mar 1, 2024
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Courteney Geniece Nelson
Title
Owner
Phone
(916) 779-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

320 Central Park W Unit 18B
New York, NY 10025-7659

Mailing address

2414 Campbell Ave
Schenectady, NY 12306-3204
Phone (916) 779-9212

Other names 6

  • Blackage Optimal Wellness Other name
  • On Point Photography Doing business as
  • One Well Clinic Other name
  • Courteney Geniece Houston Former legal business name
  • Courteney Geniece Nelson Former legal business name
  • God's Court Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1982461380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 CAMPBELL AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123063204",
            "telephone_number": "916-779-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL PARK W UNIT 18B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257659",
            "telephone_number": "916-779-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "COURTENEY",
        "authorized_official_middle_name": "GENIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-779-9212"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackage Optimal Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "On Point Photography",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Well Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courteney Geniece Houston",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Courteney Geniece Nelson",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Blackage Optimal Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "God's Court",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "One Well Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.