Carroll D. Blackledge, MA, P-LPC
NPI 1295292274ActiveIndividual· Counselor, Professional· Jackson, MS
Opted out of Medicare from July 2024 to July 2028. Counselor, Professional (MA, P-LPC) in Jackson, Mississippi, licensed in MS, with an NPI issued in February 2019.
Overview
| NPI | 1295292274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, P-LPC |
| Sole proprietor | Yes |
| NPI issued | Feb 26, 2019 |
| Last updated in NPPES | Feb 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P-0512 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 8, 2024 – Jul 8, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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