Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA BLACKWELL
NPI 1659974756
Counselor - Professional in Canton, OH

Active since November 19, 2020PECOS Enrolled
4105 FULTON DR NW, CANTON, OH 44718(216) 438-0790 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Oct 2, 2023, Aug 9, 2023 and 1 more (4 updates tracked since 2020).

About Lisa Blackwell NPPES

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

LISA BLACKWELL (NPI 1659974756) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.2303356) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659974756
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA BLACKWELL
Location Address4105 FULTON DR NWCanton, OH 44718-2819
Mailing Address4105 Fulton Dr NwCanton, OH 44718-2819 · (216) 438-0790
Sole ProprietorYes
Enumeration DateNovember 19, 2020
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1659974756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2303356
4105 FULTON DR NW, Canton, OH 44718

Other Names 1

Former Name (1)Lisa Kaser

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Blackwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Massage Therapist
4105 FULTON DR NW
CANTON, OH 44718
Massage Therapist
4105 FULTON DR NW
CANTON, OH 44718
Massage Therapist
4105 FULTON DR NW
CANTON, OH 44718
Physical Therapist
4105 FULTON DR NW
CANTON, OH 44718
Massage Therapist
4105 FULTON DR NW
CANTON, OH 44718

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 Blackwell's NPI number?

The NPI number for Lisa Blackwell is 1659974756. It was assigned to this individual provider in the NPPES registry on November 19, 2020. The provider is also known as Lisa Kaser.

Where is Lisa Blackwell located?

Lisa Blackwell practices at 4105 Fulton Dr NW, Canton, OH 44718. The listed phone number is (216) 438-0790.

What is Lisa Blackwell's specialty?

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

Is Lisa Blackwell enrolled in Medicare?

Yes. Lisa Blackwell is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Blackwell accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Lisa Blackwell 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 Lisa Blackwell was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.