JUSTIN C BLACKBURN LPC
NPI 1366106312
Counselor in Grundy, VA

Q: What is Justin Blackburn's NPI number?

The NPI number for Justin Blackburn is 1366106312. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Q: What is Justin Blackburn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Blackburn was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 26, 2021

1520 SLATE CREEK RD STE 201, GRUNDY, VA 24614(276) 242-2001(276) 312-8337 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Justin C Blackburn Lpc NPPES

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

JUSTIN C BLACKBURN LPC (NPI 1366106312) is an individual counselor in Grundy, Virginia, licensed in Virginia (0701010929) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1366106312

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJUSTIN C BLACKBURNCredential: LPC

Location Address1520 SLATE CREEK RD STE 201Grundy, VA 24614-6975

Mailing AddressPo Box 390Huntington, WV 25708-0390 · (304) 696-1636 · Fax (304) 696-1623

Phone(276) 242-2001

Fax(276) 312-8337

Sole ProprietorNo

Enumeration DateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1366106312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in VA · 0701010929

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1520 SLATE CREEK RD STE 201, Grundy, VA 24614

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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.

DESTINY ROSE GOODSON CSAC SUPERVISEE

Counselor (Addiction (Substance Use Disorder))

1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614

Buchanan County (276) 242-2001

OHIO VALLEY PHYSICIANS INC

Clinic/Center (Rural Health)

1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614

Buchanan County (276) 242-2001

CANDACE P KELLY

Nurse Practitioner (Family)

1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614

Buchanan County (276) 242-2001

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 Justin Blackburn's NPI number?

The NPI number for Justin Blackburn is 1366106312. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Justin Blackburn located?

Justin Blackburn practices at 1520 Slate Creek Rd Ste 201, Grundy, VA 24614. The listed phone number is (276) 242-2001.

What is Justin Blackburn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Justin Blackburn was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.