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

JUSTIN LAWRENCE BLACKBURN CDCA
NPI 1710716451
Counselor - Addiction (Substance Use Disorder) in Mc Dermott, OH

Active since July 31, 2024
7175 STATE ROUTE 104, MC DERMOTT, OH 45652(740) 858-6683 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Lawrence Blackburn Cdca NPPES

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

JUSTIN LAWRENCE BLACKBURN CDCA (NPI 1710716451) is an individual addiction (substance use disorder) provider in Mc Dermott, Ohio, licensed in Ohio (CDCA.194030) and active in the NPI registry since July 2024. He maintains a secondary practice location in Mc Dermott.

NPPES Registry Identity

NPI1710716451
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTIN LAWRENCE BLACKBURNCredential: CDCA
Location Address7175 STATE ROUTE 104Mc Dermott, OH 45652-8899
Mailing AddressPo Box 402Wheelersburg, OH 45694-0402 · (740) 858-6683
Sole ProprietorYes
Enumeration DateJuly 31, 2024
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1710716451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · CDCA.194030
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7175 STATE ROUTE 104, Mc Dermott, OH 45652

Secondary Practice Location 1

Location 19620 Careys Run Pond Creek RdMc Dermott, OH 45652-3902 · Phone (740) 858-6683

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Counselor (Addiction (Substance Use Disorder))
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Registered Nurse
7175 STATE ROUTE 104
MC DERMOTT, OH 45652
Community/Behavioral Health
7175 STATE ROUTE 104
MC DERMOTT, OH 45652

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 Justin Blackburn's NPI number?

The NPI number for Justin Blackburn is 1710716451. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Justin Blackburn located?

Justin Blackburn practices at 7175 State Route 104, Mc Dermott, OH 45652. The listed phone number is (740) 858-6683.

What is Justin Blackburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Justin Blackburn was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.