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BRENTT BLACKMON
NPI 1750951109
Counselor in Elk Grove, CA

Active since June 29, 2021
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758(916) 402-9007 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About Brentt Blackmon NPPES

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

BRENTT BLACKMON (NPI 1750951109) is an individual counselor in Elk Grove, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1750951109
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRENTT BLACKMON
Location Address9412 BIG HORN BLVD STE 6Elk Grove, CA 95758-1101
Mailing Address9412 Big Horn Blvd Ste 6Elk Grove, CA 95758-1101 · (916) 402-9007
Phone(916) 402-9007
Sole ProprietorYes
Enumeration DateJune 29, 2021
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1750951109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
9412 BIG HORN BLVD STE 6, Elk Grove, CA 95758
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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.

MONTERYA WALKER
Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 642-5760
CHRISTINA SHAVERS
Student in an Organized Health Care Education/Training Program
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
MISS BETTY JUNG MSW
Social Worker (Clinical)
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 879-3940
SARA SALINA MARTINEZ
Social Worker
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 520-7399
ANA C SANCHEZ
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
JULIE N LE RBT
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 281-1640
ALEXANDRIA HAYNES
Case Manager/Care Coordinator
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2800
MAGDALENA ELIZABETH MUSTAFA KANAAN
Marriage & Family Therapist
9412 BIG HORN BLVD STE 6
ELK GROVE, CA 95758
Sacramento County (916) 226-2875

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 Brentt Blackmon's NPI number?

The NPI number for Brentt Blackmon is 1750951109. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Brentt Blackmon located?

Brentt Blackmon practices at 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758. The listed phone number is (916) 402-9007.

What is Brentt Blackmon'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 Brentt Blackmon was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.