Jack Blackwell, RADT
NPI 1215574561 · Addiction (Substance Use Disorder) Counselor · Woodland, CA
Jack Blackwell, RADT is a Addiction (Substance Use Disorder) Counselor provider in Woodland, CA (NPI 1215574561).
Provider details
- NPI number
- 1215574561
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RADT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Frequently asked questions
- What is Jack Blackwell's NPI number?
- Jack Blackwell's National Provider Identifier (NPI) is 1215574561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Blackwell's specialty?
- Jack Blackwell is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Blackwell located?
- Jack Blackwell's practice location on file with NPPES is 215 W Beamer St, Woodland, CA 95695-2510.
- What is Jack Blackwell's phone number?
- The practice phone number listed in the NPPES registry for Jack Blackwell is (530) 405-2815.
- Is Jack Blackwell's NPI active?
- Yes — Jack Blackwell's NPI (1215574561) is active in the NPPES registry as of the last update on 2020-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.