BRYSON DALE BLACKBURN LCSW
NPI 1891208393
Counselor - Mental Health in Arcadia, FL

Q: What is Bryson Blackburn's NPI number?

The NPI number for Bryson Blackburn is 1891208393. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Q: What is Bryson Blackburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryson Blackburn was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 07, 2017PECOS Enrolled

725 N 12TH AVE, ARCADIA, FL 34266(863) 494-1242(863) 491-0466 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Nov 7, 2017 (2 updates tracked since 2017).

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About Bryson Dale Blackburn Lcsw NPPES

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

BRYSON DALE BLACKBURN LCSW (NPI 1891208393) is an individual mental health provider in Arcadia, Florida, licensed in Florida (SW14904) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891208393

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameBRYSON DALE BLACKBURNCredential: LCSW

Location Address725 N 12TH AVEArcadia, FL 34266-8752

Mailing Address700 8th Ave W Ste 101Palmetto, FL 34221-4737 · (941) 776-4000 · Fax (941) 845-4963

Phone(863) 494-1242

Fax(863) 491-0466

Sole ProprietorNo

Enumeration DateNovember 7, 2017

Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1891208393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · SW14904

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW14904 (FL)

725 N 12TH AVE, Arcadia, FL 34266

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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)

Bryson Dale Blackburn Lcsw 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

79%38 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

48%33 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%38 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

45%38 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

61%38 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 15

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

SHAMEKA HOLLIMON RCSW

Student in an Organized Health Care Education/Training Program