Jay Blackwell, MA, CPSW, LMHC is a
Peer Specialist based in Albuquerque, New Mexico. Jay Blackwell is licensed to practice in New Mexico (license number 1241) and his current practice location is
3150 Carlisle Blvd Ne Ste 105, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 652-4659.
NPI number for Jay Blackwell is 1063178440 and his current mailing address is 3150 Carlisle Blvd Ne Ste 105, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063178440.
Healthcare Provider's Profile
Full Name | Jay Blackwell |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 3150 Carlisle Blvd Ne Ste 105, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063178440
- Provider Enumeration Date: 11/10/2021
- Last Update Date: 02/23/2022
Medical Identifiers
Medical identifiers for Jay Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063178440 | NPI | - | NPPES |
CTL0223091 | Other | NM | NM REGULATION AND LICENSING DEPARTMENT |
1241 | Other | NM | OFFICE OF PEER RECOVERY AND ENGAGEMENT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CTL0223091 (New Mexico) | Secondary |
175T00000X | Peer Specialist | 1241 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jay Blackwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jay Blackwell, MA, CPSW, LMHC 3150 Carlisle Blvd Ne Ste 105, Albuquerque, NM 87110-1680 Ph: (056) 524-6595 | Jay Blackwell, MA, CPSW, LMHC 3150 Carlisle Blvd Ne Ste 105, Albuquerque, NM 87110-1680 Ph: (505) 652-4659 |
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