Joseph Blackwell, M. S.
Counselor, Professional in Merrillville, IN. Individual provider (NPI-1).
NPI number1013387992
StatusActive
Last updated in NPPESOct 5, 2015
Details
- NPI
- 1013387992
- Entity type
- Individual (NPI-1)
- Name
- Joseph Blackwell
- Credential
- M. S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2015
- Last updated
- Oct 5, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
6049 BroadwayMerrillville, IN 46410-2619
Phone 219-614-8446
Mailing address
5234 Plaza AvePortage, IN 46368-6515
Phone 219-614-8446
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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