What is Jack Blackwell's NPI number?

Jack Blackwell's National Provider Identifier (NPI) is 1417473190, 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 Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jack Blackwell located?

Jack Blackwell's practice location on file with NPPES is 2373 Vineyard Pl, Boulder, CO 80304-0649.

What is Jack Blackwell's phone number?

The practice phone number listed in the NPPES registry for Jack Blackwell is (720) 275-2756.

Is Jack Blackwell's NPI active?

Yes — Jack Blackwell's NPI (1417473190) is active in the NPPES registry as of the last update on 2022-07-21.

IndividualActive

Jack Blackwell

NPI 1417473190 · Mental Health Counselor · Boulder, CO

Jack Blackwell is a Mental Health Counselor provider in Boulder, CO (NPI 1417473190).

Provider details

NPI number: 1417473190
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: NLC0103233 (CO)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense NLC0103233 (CO)
Behavioral Health & Social Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
100% 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

2373 Vineyard Pl

Boulder, CO 80304-0649

Phone: (720) 275-2756

Street-level locationGet directions

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Mailing address