HOLEN BLACKBURN
NPI 1063805380
Counselor - Mental Health in Lafayette, IN

Active since March 11, 2015
1000 SAGAMORE PKWY N, #207, LAFAYETTE, IN 47904(765) 446-0006 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holen Blackburn NPPES

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

HOLEN BLACKBURN (NPI 1063805380) is an individual mental health provider in Lafayette, Indiana, licensed in Indiana (39002659A) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1063805380
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLEN BLACKBURN
Location Address1000 SAGAMORE PKWY N, #207Lafayette, IN 47904-2461
Mailing Address1000 Sagamore Pkwy N, #207Lafayette, IN 47904-2461 · (765) 446-0006
Sole ProprietorNo
Enumeration DateMarch 11, 2015
Last NPPES UpdateApril 9, 2017
NPI 1063805380 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 IN · 39002659A
1000 SAGAMORE PKWY N, Lafayette, IN 47904

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
1000 SAGAMORE PKWY N, #207
LAFAYETTE, IN 47904

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 Holen Blackburn's NPI number?

The NPI number for Holen Blackburn is 1063805380. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Holen Blackburn located?

Holen Blackburn practices at 1000 Sagamore Pkwy N #207, Lafayette, IN 47904. The listed phone number is (765) 446-0006.

What is Holen 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 Holen Blackburn was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.