LISA BLALOCK LMHC
NPI 1639661960
Counselor - Mental Health in Webster, NY
About Lisa Blalock Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA BLALOCK LMHC (NPI 1639661960) is an individual mental health provider in Webster, New York, licensed in New York (008660) and active in the NPI registry since June 2018. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lisa Blalock Lmhc 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 January 1, 2024 through January 1, 2028.
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 Lisa Blalock's NPI number?
The NPI number for Lisa Blalock is 1639661960. It was assigned to this individual provider in the NPPES registry on June 1, 2018.
Where is Lisa Blalock located?
Lisa Blalock practices at 807 Ridge Rd Ste 206, Webster, NY 14580. The listed phone number is (585) 738-9076.
What is Lisa Blalock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lisa Blalock enrolled in Medicare?
No. Lisa Blalock has opted out of Medicare through January 1, 2028. 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 Lisa Blalock was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Lisa Blalock, LMHC · NPI 1639661960
Mental Health provider in Webster, New York. Individual provider, active in the CMS NPPES registry since June 1, 2018.
## Identity
- **NPI:** 1639661960 (Entity type: Individual)
- **Enumerated:** June 1, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 008660 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 807 RIDGE RD STE 206, Webster, NY 14580-2497
- **Phone:** (585) 738-9076
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** June 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1639661960) · Data from the CMS NPPES public registry.