Individual provider · Type 1 NPI

Jay Blackwell, MA, LPCC

Professional Counselor · Albuquerque, NM

NPI number 1063178440 Active

Practice location

3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680

Call (505) 652-4659 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X1241 (NM)
Mental Health Counselor 101YM0800XCTL0223091 (NM)
Professional Counselor Primary 101YP2500XCTB-2026-0236 (NM)

Professional Counselor: Definition to come...

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About NPI 1063178440

Jay Blackwell, MA, LPCC's National Provider Identifier is 1063178440, issued on Nov 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 20, 2026.