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CORINNE BLACKMON MA, LCMHC, LPC
NPI 1396440624
Counselor - Mental Health in Greenville, SC

Active since April 04, 2023Opted out of Medicare · through Oct 8, 2027
3210 N PLEASANTBURG DR # 1096, GREENVILLE, SC 29609(904) 440-0295 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, Oct 8, 2025, Apr 4, 2023 (3 updates tracked since 2023).

About Corinne Blackmon Ma, Lcmhc, Lpc NPPES

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

CORINNE BLACKMON MA, LCMHC, LPC (NPI 1396440624) is an individual mental health provider in Greenville, South Carolina, licensed in South Carolina (11893) and active in the NPI registry since April 2023. She has opted out of Medicare through October 8, 2027.

NPPES Registry Identity

NPI1396440624
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORINNE BLACKMONCredential: MA, LCMHC, LPC
Location Address3210 N PLEASANTBURG DR # 1096Greenville, SC 29609-2925
Mailing Address3210 N Pleasantburg Dr # 1096Greenville, SC 29609-2925
Phone(904) 440-0295
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1396440624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in SC · 11893✔ Licensed in VT · 068.0137122TELE✔ Licensed in NC · 18358
3210 N PLEASANTBURG DR # 1096, Greenville, SC 29609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Corinne Blackmon Ma, Lcmhc, Lpc 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 October 8, 2025 through October 8, 2027.

Opt-Out Effective DateOctober 8, 2025
Opt-Out In Effect ThroughOctober 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Corinne Blackmon's NPI number?

The NPI number for Corinne Blackmon is 1396440624. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Corinne Blackmon located?

Corinne Blackmon practices at 3210 N Pleasantburg Dr # 1096, Greenville, SC 29609. The listed phone number is (904) 440-0295.

What is Corinne Blackmon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Corinne Blackmon enrolled in Medicare?

No. Corinne Blackmon has opted out of Medicare through October 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Corinne Blackmon was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.