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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE BLACKHILL
NPI 1164083028
Social Worker - Clinical in San Jose, CA

Active since June 21, 2019
1555 PARKMOOR AVE, SAN JOSE, CA 95128(408) 282-0402 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Feb 1, 2022, Jun 21, 2019 (3 updates tracked since 2019).

About Jesse Blackhill NPPES

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

JESSE BLACKHILL (NPI 1164083028) is an individual clinical provider in San Jose, California, licensed in California (106727) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1164083028
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSE BLACKHILL
Location Address1555 PARKMOOR AVESan Jose, CA 95128-2407
Mailing AddressPo Box 127Napa, CA 94559-0127 · (707) 255-3300 · Fax (707) 255-3527
Phone(408) 282-0402
Sole ProprietorNo
Enumeration DateJune 21, 2019
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1164083028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 106727
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1555 PARKMOOR AVE, San Jose, CA 95128
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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.

MEAGHAN BARISONE
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
KELLY TRAN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
QIAN LI M.S.
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
KARINA BETERAN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
BICH-LIEN THU PHAN
Student in an Organized Health Care Education/Training Program
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
YESENIA BRACOMONTES VILLA
Counselor
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
ALISHA BEAL
Counselor (Mental Health)
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402
PHYLICIA THIEN PHUOC NGUYEN
Marriage & Family Therapist
1555 PARKMOOR AVE
SAN JOSE, CA 95128
Santa Clara County (408) 282-0402

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 Jesse Blackhill's NPI number?

The NPI number for Jesse Blackhill is 1164083028. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Jesse Blackhill located?

Jesse Blackhill practices at 1555 Parkmoor Ave, San Jose, CA 95128. The listed phone number is (408) 282-0402.

What is Jesse Blackhill's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jesse Blackhill was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.