Courtney Blackburn, MA
NPI 1609437896ActiveIndividual· Psychologist· Huntington, WV
Psychologist (MA) with St. Mary's Himg, LLC, practicing in Huntington, West Virginia. Enrolled in Medicare as practitioner - clinical psychologist. Lists St Marys Medical Center as a hospital affiliation.
Overview
| NPI | 1609437896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | No |
| NPI issued | Jun 27, 2019 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 1309 | WV |
| Psychologist | 103T00000X | — | WV |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Practitioner - Clinical Psychologist (WV) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- St. Mary's Himg, LLCHuntington, WV · 82 clinicians
Hospital affiliation
- St Marys Medical CenterHuntington, WV
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