JEREMY BLACKSHIRE MA, LPC, LMHP, LSATP
NPI 1982232179
Counselor - Professional in Lynchburg, VA

Active since April 01, 2020PECOS Enrolled
20276 TIMBERLAKE RD STE A, LYNCHBURG, VA 24502(434) 319-5528 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Jeremy Blackshire Ma, Lpc, Lmhp, Lsatp NPPES

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

JEREMY BLACKSHIRE MA, LPC, LMHP, LSATP (NPI 1982232179) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701008802) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bedford.

NPPES Registry Identity

NPI1982232179
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY BLACKSHIRECredential: MA, LPC, LMHP, LSATP
Location Address20276 TIMBERLAKE RD STE ALynchburg, VA 24502-7214
Mailing Address20276 Timberlake Rd Ste ALynchburg, VA 24502-7214 · (434) 319-5528
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1982232179 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 VA · 0701008802
20276 TIMBERLAKE RD STE A, Lynchburg, VA 24502

Secondary Practice Location 1

Location 11409 Old Dominion BlvdBedford, VA 24523-3285 · Phone (540) 586-5429

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeremy Blackshire Ma, Lpc, Lmhp, Lsatp 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 4

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

Pharmacist
20276 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Counselor (Professional)
20276 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Counselor (Professional)
20276 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502
Counselor (Professional)
20276 TIMBERLAKE RD STE A
LYNCHBURG, VA 24502

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 Jeremy Blackshire's NPI number?

The NPI number for Jeremy Blackshire is 1982232179. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Jeremy Blackshire located?

Jeremy Blackshire practices at 20276 Timberlake Rd Ste A, Lynchburg, VA 24502. The listed phone number is (434) 319-5528.

What is Jeremy Blackshire's specialty?

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

Is Jeremy Blackshire enrolled in Medicare?

Yes. Jeremy Blackshire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Blackshire was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.