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JACOB STEPHEN BLACKSTOCK LCMHCA
NPI 1740870997
Counselor - Mental Health in Greensboro, NC

Active since January 21, 2021Opted out of Medicare · through Jan 29, 2027
231 N SPRING ST, GREENSBORO, NC 27401(336) 899-8800 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Stephen Blackstock Lcmhca NPPES

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

JACOB STEPHEN BLACKSTOCK LCMHCA (NPI 1740870997) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (A13081) and active in the NPI registry since January 2021. He has opted out of Medicare through January 29, 2027.

NPPES Registry Identity

NPI1740870997
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB STEPHEN BLACKSTOCKCredential: LCMHCA
Location Address231 N SPRING STGreensboro, NC 27401-2231
Mailing Address3026 Stratford DrGreensboro, NC 27408-2625
Phone(336) 899-8800
Sole ProprietorNo
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1740870997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A13081
231 N SPRING ST, Greensboro, NC 27401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacob Stephen Blackstock Lcmhca 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 29, 2025 through January 29, 2027.

Opt-Out Effective DateJanuary 29, 2025
Opt-Out In Effect ThroughJanuary 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

JOAN ELIZABETH RILEY LCMHCA
Counselor (Mental Health)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
CARRIE WATKINS MSW, LCSW
Social Worker (Clinical)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
ELIZABETH TRUESDELL BROOKS LPCA
Counselor (Professional)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
KARA MCRAE
Social Worker (Clinical)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
WHITNEY RAE CHILTON BROWN
Counselor (Professional)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
MRS. JASMINE L. GARLAND MCKINNEY LCMHC-A, NCC
Counselor (Professional)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
LASHONDA TRENISE TATE
Counselor (Mental Health)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800
JESSICA GOODMAN
Counselor (Professional)
231 N SPRING ST
GREENSBORO, NC 27401
Guilford County (336) 899-8800

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 Jacob Blackstock's NPI number?

The NPI number for Jacob Blackstock is 1740870997. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Jacob Blackstock located?

Jacob Blackstock practices at 231 N Spring St, Greensboro, NC 27401. The listed phone number is (336) 899-8800.

What is Jacob Blackstock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Blackstock enrolled in Medicare?

No. Jacob Blackstock has opted out of Medicare through January 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacob Blackstock accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jacob Blackstock 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 Jacob Blackstock was last updated on January 21, 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.