WALISHA M. BLACKMORE M.ED., LPC
NPI 1649674219
Counselor in Port Arthur, TX

Q: What is Walisha M. Blackmore M.Ed., Lpc's NPI number?

The NPI number for Walisha M. Blackmore M.Ed., Lpc is 1649674219. It was assigned to this organization in the NPPES registry on October 10, 2014.

Q: What is Walisha M. Blackmore M.Ed., Lpc's specialty?

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

Active since October 10, 2014

2100 19TH ST, PORT ARTHUR, TX 77640(409) 344-2790 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Walisha M. Blackmore M.ed., Lpc NPPES

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

WALISHA M. BLACKMORE M.ED., LPC (NPI 1649674219) is a healthcare organization registered as a counselor in Port Arthur, Texas and active in the NPI registry since October 2014. The organization lists Walisha Blackmore, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1649674219

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameWALISHA M. BLACKMORE M.ED., LPC

Location Address2100 19TH STPort Arthur, TX 77640-3859

Mailing Address2100 19th StPort Arthur, TX 77640-3859

Phone(409) 344-2790

Organization SubpartNo

Authorized OfficialWalisha BlackmoreLicensed Professional Counselor · (409) 344-2790

Enumeration DateOctober 10, 2014

✔ NPI 1649674219 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 TX · 15296

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.

2100 19TH ST, Port Arthur, TX 77640

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Other Identifiers 1

Medicaid028371503TX

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

Other Providers at the Same Location NPPES

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

WALISHA M. BLACKMORE M. ED., LPC-S

Counselor (Professional)

2100 19TH ST
PORT ARTHUR, TX 77640

Jefferson County (409) 344-2790

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 Walisha M. Blackmore M.Ed., Lpc's NPI number?

The NPI number for Walisha M. Blackmore M.Ed., Lpc is 1649674219. It was assigned to this organization in the NPPES registry on October 10, 2014.

Where is Walisha M. Blackmore M.Ed., Lpc located?

Walisha M. Blackmore M.Ed., Lpc is located at 2100 19th St, Port Arthur, TX 77640. The listed phone number is (409) 344-2790.

What is Walisha M. Blackmore M.Ed., Lpc'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 Walisha M. Blackmore M.Ed., Lpc was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.