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TIMOTHY ALAN BLACKBURN
NPI 1013715150
Counselor - Mental Health in Seattle, WA

Active since March 05, 2025
4 NICKERSON ST STE 300, SEATTLE, WA 98109(888) 364-5977 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Alan Blackburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY ALAN BLACKBURN (NPI 1013715150) is an individual mental health provider in Seattle, Washington, licensed in Washington (MC61574268) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1013715150
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY ALAN BLACKBURN
Location Address4 NICKERSON ST STE 300Seattle, WA 98109-1699
Mailing Address1295 Bandana Blvd W, Ste 210St. Paul, MN 55108
Phone(888) 364-5977
Sole ProprietorYes
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1013715150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61574268
4 NICKERSON ST STE 300, Seattle, WA 98109
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE CARRILLO-BERNAL
Dietitian, Registered
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
MS. REBECCA ANNE MAY LMHC
Counselor (Mental Health)
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
STEPHANIE RICE LMHC, NCC
Counselor (Mental Health)
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
KRISTEN EVANS
Dietitian, Registered
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
ALISON FASOLINO
Student in an Organized Health Care Education/Training Program
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (866) 821-0281
MELANIE HOELZLE RD CD
Dietitian, Registered (Nutrition, Metabolic)
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
KATHRYN HARLOW PIKE RD
Dietitian, Registered
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (888) 364-5977
MS. KAYLA ELIZABETH BELL MPH, RD, CD
Dietitian, Registered
4 NICKERSON ST STE 300
SEATTLE, WA 98109
King County (206) 224-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Blackburn's NPI number?

The NPI number for Timothy Blackburn is 1013715150. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Timothy Blackburn located?

Timothy Blackburn practices at 4 Nickerson St Ste 300, Seattle, WA 98109. The listed phone number is (888) 364-5977.

What is Timothy Blackburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Timothy Blackburn was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.