DR. LEE ROY BLACKWELL PH.D.
NPI 1306995089
Psychologist - Counseling in Huntington Beach, CA

Active since January 10, 2007Opted out of Medicare · through Apr 16, 2027
16152 BEACH BLVD STE 170, HUNTINGTON BEACH, CA 92647(714) 848-7280(714) 847-8909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lee Roy Blackwell Ph.d. NPPES

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

DR. LEE ROY BLACKWELL PH.D. (NPI 1306995089) is an individual counseling provider in Huntington Beach, California, licensed in California (PSY5642) and active in the NPI registry since January 2007. He has opted out of Medicare through April 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306995089
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. LEE ROY BLACKWELLCredential: PH.D.
Location Address16152 BEACH BLVD STE 170Huntington Beach, CA 92647-3818
Mailing Address16152 Beach Blvd Ste 170Huntington Beach, CA 92647-3818 · (714) 848-7280 · Fax (714) 847-8909
Fax(714) 847-8909
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1306995089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in CA · PSY5642
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
16152 BEACH BLVD STE 170, Huntington Beach, CA 92647

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lee Roy Blackwell Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2019 through April 16, 2027.

Opt-Out Effective DateApril 16, 2019
Opt-Out In Effect ThroughApril 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Psychologist
16152 BEACH BLVD STE 170
HUNTINGTON BEACH, CA 92647
Marriage & Family Therapist
16152 BEACH BLVD STE 170
HUNTINGTON BEACH, CA 92647
Social Worker (Clinical)
16152 BEACH BLVD STE 170
HUNTINGTON BEACH, CA 92647

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 Lee Blackwell's NPI number?

The NPI number for Lee Blackwell is 1306995089. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Lee Blackwell located?

Lee Blackwell practices at 16152 Beach Blvd Ste 170, Huntington Beach, CA 92647. The listed phone number is (714) 848-7280.

What is Lee Blackwell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Lee Blackwell enrolled in Medicare?

No. Lee Blackwell has opted out of Medicare through April 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lee Blackwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.