CARROLL D. BLACKLEDGE MA, P-LPC
NPI 1295292274
Counselor - Professional in Jackson, MS

Q: What is Carroll Blackledge's NPI number?

The NPI number for Carroll Blackledge is 1295292274. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Q: What is Carroll Blackledge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since February 26, 2019

4500 I 55 N STE 208, JACKSON, MS 39211(601) 405-7440 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carroll D. Blackledge Ma, P-lpc NPPES

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

CARROLL D. BLACKLEDGE MA, P-LPC (NPI 1295292274) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (P-0512) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1295292274

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameCARROLL D. BLACKLEDGECredential: MA, P-LPC

Location Address4500 I 55 N STE 208Jackson, MS 39211-5931

Mailing Address107 Laurel Glen CtMadison, MS 39110-7395 · (601) 622-7277

Phone(601) 405-7440

Sole ProprietorYes

Enumeration DateFebruary 26, 2019

✔ NPI 1295292274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MS · P-0512

4500 I 55 N STE 208, Jackson, MS 39211

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Other Providers at the Same Location NPPES 2

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

MINDFUL SOLUTIONS, LLC

Counselor (Professional)

4500 I 55 N STE 208
JACKSON, MS 39211

Hinds County (601) 292-6260

TYLER STACY LPC

Counselor (Professional)

4500 I 55 N STE 208
JACKSON, MS 39211

Hinds County (601) 405-7440

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 Carroll Blackledge's NPI number?

The NPI number for Carroll Blackledge is 1295292274. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Carroll Blackledge located?

Carroll Blackledge practices at 4500 I 55 N Ste 208, Jackson, MS 39211. The listed phone number is (601) 405-7440.

What is Carroll Blackledge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Carroll Blackledge was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.