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JAY BLACKWELL MA, LPCC
NPI 1063178440
Counselor - Professional in Albuquerque, NM

Active since November 10, 2021
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110(505) 652-4659 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Feb 23, 2022, Nov 10, 2021 (3 updates tracked since 2021).

About Jay Blackwell Ma, Lpcc NPPES

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

JAY BLACKWELL MA, LPCC (NPI 1063178440) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2026-0236) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1063178440
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJAY BLACKWELLCredential: MA, LPCC
Location Address3150 CARLISLE BLVD NE STE 105Albuquerque, NM 87110-1680
Mailing Address3150 Carlisle Blvd Ne Ste 105Albuquerque, NM 87110-1680 · (505) 652-4659
Phone(505) 652-4659
Sole ProprietorNo
Enumeration DateNovember 10, 2021
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1063178440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CTB-2026-0236
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CTL0223091 (NM)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 1241 (NM)
3150 CARLISLE BLVD NE STE 105, Albuquerque, NM 87110
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Other Identifiers 2

OtherCTL0223091NM · Nm Regulation And Licensing Department
OtherCTB20260236NM · Nmrld

Other Providers at the Same Location NPPES 20

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

SUSAN L WEISS MSC.
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-8173
DANA LOCKE
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-6017
KELSEY LYNNE DOUGLASS MSW
Social Worker
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-6035
SIMONE MICHELE ALI
Peer Specialist
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 633-8173
DEVIN DARBY WHEELER MA
Behavior Analyst
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 345-8471
AIDAN ALTIK
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 633-8173
DARIAN ALLEN
Peer Specialist
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 663-8173
SEAN CARDINALLI
Student in an Organized Health Care Education/Training Program
3150 CARLISLE BLVD NE STE 105
ALBUQUERQUE, NM 87110
Bernalillo County (505) 633-8173

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 Jay Blackwell's NPI number?

The NPI number for Jay Blackwell is 1063178440. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Jay Blackwell located?

Jay Blackwell practices at 3150 Carlisle Blvd NE Ste 105, Albuquerque, NM 87110. The listed phone number is (505) 652-4659.

What is Jay Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jay Blackwell was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.