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MR. DEVON ANTHONY BLACKWOOD LCADC
NPI 1336225077
Counselor - Addiction (Substance Use Disorder) in Reisterstown, MD

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
100 OWINGS COURT, STE 8, REISTERSTOWN, MD 21136(410) 526-7100(410) 526-7138 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Devon Anthony Blackwood Lcadc NPPES

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

MR. DEVON ANTHONY BLACKWOOD LCADC (NPI 1336225077) is an individual addiction (substance use disorder) provider in Reisterstown, Maryland, licensed in Maryland (LCA305) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336225077
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DEVON ANTHONY BLACKWOODCredential: LCADC
Location Address100 OWINGS COURT, STE 8Reisterstown, MD 21136
Mailing Address10400 Ridgland Road, Ste 1Cockeysville, MD 21030 · (410) 628-6120 · Fax (410) 628-9825
Phone(410) 526-7100
Fax(410) 526-7138
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336225077 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
License✔ Licensed in MD · LCA305
100 OWINGS COURT, Reisterstown, MD 21136
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Devon Anthony Blackwood Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688195373
PECOS Enrollment IDI20250311001167
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. JEFFREY DAVID GARY PHD
Psychologist
100 OWINGS COURT, STE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100
HORMONES & IMMUNOLOGY PERSONALIZED MEDICINE
Nurse Practitioner (Psychiatric/Mental Health)
100 OWINGS COURT, STE 12
REISTERSTOWN, MD 21136
Baltimore County (410) 220-5600
MS. JENNIFER L PEMBERTON MS LCPC
Counselor
100 OWINGS COURT, STE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100
MRS. KRISTIN KATHLEEN BRODERICK LCM
Marriage & Family Therapist
100 OWINGS COURT, SUITE 8
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7100

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 Devon Blackwood's NPI number?

The NPI number for Devon Blackwood is 1336225077. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Devon Blackwood located?

Devon Blackwood practices at 100 Owings Court Ste 8, Reisterstown, MD 21136. The listed phone number is (410) 526-7100.

What is Devon Blackwood's specialty?

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

Is Devon Blackwood enrolled in Medicare?

Yes. Devon Blackwood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Devon Blackwood 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.