Julie S Blackburn, LCPC is a
Counselor - Professional based in Cedar Lake, Indiana. Julie S Blackburn is licensed to practice in Illinois (license number 180009503) and her current practice location is
13947 Annapolis Ct, Cedar Lake, Indiana. She can be reached at her office (for appointments etc.) via phone at
(815) 556-9471.
NPI number for Julie S Blackburn is 1790173011 and her current mailing address is 9715 W 133rd Ave Unit 834, Cedar Lake, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790173011.
Healthcare Provider's Profile
Full Name | Julie S Blackburn |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 13947 Annapolis Ct, Cedar Lake, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790173011
- Provider Enumeration Date: 01/08/2015
- Last Update Date: 05/31/2023
Medical Identifiers
Medical identifiers for Julie S Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790173011 | NPI | - | NPPES |
39003693A | Other | IN | INDIANA LMHP (LICENSED MENTAL HEALTH PROFESSIONAL) |
180009503 | Other | IL | ILLINOIS LICENSED CLINICAL PROFESSIONAL COUNSELOR LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180009503 (Illinois) | 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. Julie S Blackburn 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 |
Julie S Blackburn, LCPC 9715 W 133rd Ave Unit 834, Cedar Lake, IN 46303-7752 Ph: (815) 556-9471 | Julie S Blackburn, LCPC 13947 Annapolis Ct, Cedar Lake, IN 46303-7805 Ph: (815) 556-9471 |
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