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ELIZABETH RANDELL BLACKBURN LMFT
NPI 1104049568
Marriage & Family Therapist in Poulsbo, WA

Active since April 11, 2007
20174 FRONT ST NE, POULSBO, WA 98370(404) 426-0486(404) 426-0486 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2018, Apr 19, 2018 (2 updates tracked since 2018).

About Elizabeth Randell Blackburn Lmft NPPES

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

ELIZABETH RANDELL BLACKBURN LMFT (NPI 1104049568) is an individual marriage & family therapist in Poulsbo, Washington, licensed in Washington (LF60554394) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104049568
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH RANDELL BLACKBURNCredential: LMFT
Location Address20174 FRONT ST NEPoulsbo, WA 98370-7445
Mailing Address20174 Front St NePoulsbo, WA 98370-7445 · (404) 426-0486 · Fax (404) 426-0486
Phone(404) 426-0486
Fax(404) 426-0486
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateMay 1, 20182 updates tracked since enumeration
✔ NPI 1104049568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in WA · LF60554394✔ Licensed in GA · MFT000939
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
20174 FRONT ST NE, Poulsbo, WA 98370
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Other Identifiers 2

Other1104049568GA · Npi
Medicaid125233048AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 14

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

MS. JUDITH GLASS COLLINS PHD
Psychologist (Clinical)
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 697-1141
ANDREA B HICKMAN M.ED, LMHC
Counselor (Mental Health)
20174 FRONT ST NE, C/O FRONT STREET CLINIC
POULSBO, WA 98370
Kitsap County (503) 329-8633
WANDEE J. PRYOR, PSY.D., LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 607-1141
DR. JOHN W. REYNOLDS PHD
Psychologist
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 697-1141
ALEC WILSON ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 415-5870
FRONT STREET CLINIC INC
Psychologist
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 697-1141
MS. HOLLY E HULST LMFT
Marriage & Family Therapist
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 697-1141
MR. VANCE PRYOR
Psychologist (Clinical)
20174 FRONT ST NE
POULSBO, WA 98370
Kitsap County (360) 697-1141

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 Elizabeth Blackburn's NPI number?

The NPI number for Elizabeth Blackburn is 1104049568. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Elizabeth Blackburn located?

Elizabeth Blackburn practices at 20174 Front St NE, Poulsbo, WA 98370. The listed phone number is (404) 426-0486.

What is Elizabeth Blackburn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

What insurance does Elizabeth Blackburn accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Elizabeth Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Blackburn was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.