BLACKBIRD PSYCHOTHERAPY LLC
NPI 1467024877
Counselor - Professional in Janesville, WI

Active since July 14, 2021
115 N JACKSON ST STE 100, JANESVILLE, WI 53548(608) 631-0911 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blackbird Psychotherapy Llc NPPES

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

BLACKBIRD PSYCHOTHERAPY LLC (NPI 1467024877) is a healthcare organization registered as a professional in Janesville, Wisconsin and active in the NPI registry since July 2021. The organization lists Alicia Oczus, Owner, as its authorized official.

NPPES Registry Identity

NPI1467024877
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLACKBIRD PSYCHOTHERAPY LLC
Location Address115 N JACKSON ST STE 100Janesville, WI 53548-2952
Mailing Address3521 Eagles Ridge DrBeloit, WI 53511-9108 · (608) 290-9841
Organization SubpartNo
Authorized OfficialAlicia OczusOwner · (608) 631-0911
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
NPI 1467024877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
115 N JACKSON ST STE 100, Janesville, WI 53548

Other Identifiers 1

Medicaid1528430402WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Social Worker
115 N JACKSON ST STE 100
JANESVILLE, WI 53548

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 Blackbird Psychotherapy LLC's NPI number?

The NPI number for Blackbird Psychotherapy LLC is 1467024877. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Blackbird Psychotherapy LLC located?

Blackbird Psychotherapy LLC is located at 115 N Jackson St Ste 100, Janesville, WI 53548. The listed phone number is (608) 631-0911.

What is Blackbird Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Blackbird Psychotherapy LLC accept?

Health plans from MercyCare Health Plans list Blackbird Psychotherapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blackbird Psychotherapy LLC was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.