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Jay Blackwell, MA, LPCC

NPI 1063178440ActiveIndividual· Counselor, Professional· Albuquerque, NM

Counselor, Professional (MA, LPCC) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in November 2021.

Overview

NPI1063178440
StatusActive
Entity typeIndividual
CredentialMA, LPCC
Sole proprietorNo
NPI issuedNov 10, 2021
Last updated in NPPESMar 20, 2026
Certified by providerMar 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500XCTB-2026-0236NM
Peer Specialist175T00000X1241NM
Counselor, Mental Health101YM0800XCTL0223091NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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