WALISHA M. BLACKMORE M. ED., LPC-S
NPI 1992853063
Counselor - Professional in Port Arthur, TX

Active since January 08, 2007PECOS Enrolled
2100 19TH ST, PORT ARTHUR, TX 77640(409) 344-2790 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2025, Feb 9, 2024 (2 updates tracked since 2024).

About Walisha M. Blackmore M. Ed., Lpc-s NPPES

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

WALISHA M. BLACKMORE M. ED., LPC-S (NPI 1992853063) is an individual professional provider in Port Arthur, Texas, licensed in Texas (15296) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Neches.

NPPES Registry Identity

NPI1992853063
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWALISHA M. BLACKMORECredential: M. ED., LPC-S
Location Address2100 19TH STPort Arthur, TX 77640-3859
Mailing Address2100 19th StPort Arthur, TX 77640-3859 · (409) 344-2790
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1992853063 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 TX · 15296
2100 19TH ST, Port Arthur, TX 77640

Secondary Practice Location 1

Location 12512 Nall StPort Neches, TX 77651-4706 · Phone (409) 727-5785 · Fax (409) 729-0465

Other Identifiers 1

Medicaid0283715-03TX

Accepted 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)

Walisha M. Blackmore M. Ed., Lpc-s 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

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

Counselor
2100 19TH ST
PORT ARTHUR, TX 77640

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 Walisha Blackmore's NPI number?

The NPI number for Walisha Blackmore is 1992853063. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Walisha Blackmore located?

Walisha Blackmore practices at 2100 19th St, Port Arthur, TX 77640. The listed phone number is (409) 344-2790.

What is Walisha Blackmore's specialty?

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

Is Walisha Blackmore enrolled in Medicare?

Yes. Walisha Blackmore is registered in the Medicare PECOS enrollment system.

What insurance does Walisha Blackmore accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Walisha Blackmore 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 Walisha Blackmore was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.