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MRS. LATREASA DENISE BLACKMON LPC
NPI 1063179547
Counselor in Naperville, IL

Active since November 19, 2021
500 E OGDEN AVE STE 101, NAPERVILLE, IL 60563(331) 444-2342 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Latreasa Denise Blackmon Lpc NPPES

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

MRS. LATREASA DENISE BLACKMON LPC (NPI 1063179547) is an individual counselor in Naperville, Illinois, licensed in Illinois (178017570) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1063179547
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. LATREASA DENISE BLACKMONCredential: LPC
Location Address500 E OGDEN AVE STE 101Naperville, IL 60563-3264
Mailing Address500 E Ogden Ave Ste 101Naperville, IL 60563-3264 · (331) 444-2342
Phone(331) 444-2342
Sole ProprietorYes
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1063179547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178017570
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
500 E OGDEN AVE STE 101, Naperville, IL 60563
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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 Latreasa Blackmon's NPI number?

The NPI number for Latreasa Blackmon is 1063179547. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Latreasa Blackmon located?

Latreasa Blackmon practices at 500 E Ogden Ave Ste 101, Naperville, IL 60563. The listed phone number is (331) 444-2342.

What is Latreasa Blackmon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Latreasa Blackmon was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.