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MR. BENJAMIN AMOS BLACKMON II
NPI 1295074284
Counselor - Mental Health in Oakland, CA

Active since February 11, 2013
111 MYRTLE ST STE 102, OAKLAND, CA 94607(510) 839-3800 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Benjamin Amos Blackmon Ii NPPES

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

MR. BENJAMIN AMOS BLACKMON II (NPI 1295074284) is an individual mental health provider in Oakland, California and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1295074284
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BENJAMIN AMOS BLACKMON II
Location Address111 MYRTLE ST STE 102Oakland, CA 94607-2535
Mailing Address111 Myrtle St Ste 102Oakland, CA 94607-2535 · (510) 839-3800
Phone(510) 839-3800
Sole ProprietorNo
Enumeration DateFebruary 11, 2013
✔ NPI 1295074284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 MYRTLE ST STE 102, Oakland, CA 94607
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Other Providers at the Same Location NPPES 15

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

ELIZABETH VIRGINIA GIBSON MA, MFTI
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 463-7673
RICHA SARASWAT
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 395-2733
ALTERNATIVE FAMILY SERVICES
Foster Care Agency
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 839-3800
MR. SASHA LUSTGARTEN M.A., MFT
Marriage & Family Therapist
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 229-9035
LAURA ESPINO
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 568-0306
OMSRI BHARAT
Student in an Organized Health Care Education/Training Program
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 788-9920
ANDRIA MICHON CARTER MSW, ASW
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (510) 504-0120
YESENIA GISELLE SELVA FEUSTEL
Counselor
111 MYRTLE ST STE 102
OAKLAND, CA 94607
Alameda County (925) 787-7775

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 Benjamin Blackmon's NPI number?

The NPI number for Benjamin Blackmon is 1295074284. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Where is Benjamin Blackmon located?

Benjamin Blackmon practices at 111 Myrtle St Ste 102, Oakland, CA 94607. The listed phone number is (510) 839-3800.

What is Benjamin Blackmon'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 Benjamin Blackmon was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.