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KIMBERLY ANN BLACKWELL
NPI 1407649411
Counselor in Tigard, OR

Active since May 23, 2025
8770 SW SCOFFINS ST, TIGARD, OR 97223(503) 684-1424(503) 684-1425 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kimberly Ann Blackwell NPPES

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

KIMBERLY ANN BLACKWELL (NPI 1407649411) is an individual counselor in Tigard, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1407649411
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY ANN BLACKWELL
Location Address8770 SW SCOFFINS STTigard, OR 97223-6226
Mailing Address5415 Sw Westgate DrPortland, OR 97221-2409 · (503) 645-3581
Phone(503) 684-1424
Fax(503) 684-1425
Sole ProprietorNo
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1407649411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
8770 SW SCOFFINS ST, Tigard, OR 97223
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Other Providers at the Same Location NPPES 20

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

AMIE MYKISEN
Case Manager/Care Coordinator
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
DIANE BENAVIDES-WILLE MA
Counselor (Mental Health)
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
STEPHEN ANDREW GOINS
Student in an Organized Health Care Education/Training Program
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
MS. SHANNON ISABEL LUBBEN M.A.
Counselor (Mental Health)
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
HEATHER ANN LEWIS
Counselor (Addiction (Substance Use Disorder))
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
ASHLEY BALLENGER
Case Manager/Care Coordinator
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
VIRGINIA MARIE JACOBS
Case Manager/Care Coordinator
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424
COURTNEY TOWNE LCSW
Social Worker (Clinical)
8770 SW SCOFFINS ST
TIGARD, OR 97223
Washington County (503) 684-1424

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 Kimberly Blackwell's NPI number?

The NPI number for Kimberly Blackwell is 1407649411. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Kimberly Blackwell located?

Kimberly Blackwell practices at 8770 SW Scoffins St, Tigard, OR 97223. The listed phone number is (503) 684-1424.

What is Kimberly Blackwell'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 Kimberly Blackwell was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.