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KEITH JEREMY BLACKBURN
NPI 1275114977
Counselor - Addiction (Substance Use Disorder) in Gardner, MA

Active since April 15, 2021
171 GRAHAM ST, GARDNER, MA 01440(978) 632-4574 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Jeremy Blackburn NPPES

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

KEITH JEREMY BLACKBURN (NPI 1275114977) is an individual addiction (substance use disorder) provider in Gardner, Massachusetts and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1275114977
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH JEREMY BLACKBURN
Location Address171 GRAHAM STGardner, MA 01440-3847
Mailing Address171 Graham StGardner, MA 01440-3847 · (978) 632-4574
Phone(978) 632-4574
Sole ProprietorNo
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1275114977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
171 GRAHAM ST, Gardner, MA 01440
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Other Providers at the Same Location NPPES 5

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

JOHN CARDINAL
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
KEVIN L WATERMAN CADC
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
JAMES ANELLO LADCII
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
JOSEPH FORREST JAMES
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574
PATRICK TOWNSEND
Counselor (Addiction (Substance Use Disorder))
171 GRAHAM ST
GARDNER, MA 01440
Worcester County (978) 632-4574

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 Keith Blackburn's NPI number?

The NPI number for Keith Blackburn is 1275114977. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Keith Blackburn located?

Keith Blackburn practices at 171 Graham St, Gardner, MA 01440. The listed phone number is (978) 632-4574.

What is Keith Blackburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Blackburn was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.