What is Willie Blackmon's NPI number?

Willie Blackmon's National Provider Identifier (NPI) is 1477762052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Willie Blackmon's specialty?

Willie Blackmon is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).

Where is Willie Blackmon located?

Willie Blackmon's practice location on file with NPPES is 17504 E Carriageway Dr Ste B, Hazel Crest, IL 60429-2089.

What is Willie Blackmon's phone number?

The practice phone number listed in the NPPES registry for Willie Blackmon is (708) 799-0300.

Does Willie Blackmon accept Medicare?

Willie Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Willie Blackmon's NPI active?

Yes — Willie Blackmon's NPI (1477762052) is active in the NPPES registry as of the last update on 2009-04-23.

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Willie Blackmon, LCPC; CADC; MA

NPI 1477762052 · Professional Counselor · Hazel Crest, IL

Willie Blackmon, LCPC; CADC; MA is a Professional Counselor provider in Hazel Crest, IL (NPI 1477762052).

Provider details

NPI number: 1477762052
Entity type: Individual
Primary specialty: Professional CounselorBehavioral Health & Social Service Providers
Credential: LCPC; CADC; MA
Sex: Male
Sole proprietor: No
License: 5848 (IL)

Practice location

17504 E Carriageway Dr Ste B

Hazel Crest, IL 60429-2089

Phone: (708) 799-0300

Fax: (708) 799-0300

Street-level locationGet directions

More IL providers

Mailing address

5834 S Maplewood Ave

Chicago, IL 60629-1124

Specialties & taxonomies

Professional CounselorPrimary101YP2500XLicense 180.007189 (IL)
Behavioral Health & Social Service Providers
Addiction (Substance Use Disorder) Counselor101YA0400XLicense 5848 (IL)
Behavioral Health & Social Service Providers
Mental Health Counselor101YM0800XLicense 178-002766 (IL)
Behavioral Health & Social Service Providers

Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(90/100 index)

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

Registry tenure38% of score
19 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.

Enumerated: 2007-05-21
Last updated: 2009-04-23

Frequently asked questions

What is Willie Blackmon's NPI number?: Willie Blackmon's National Provider Identifier (NPI) is 1477762052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Willie Blackmon's specialty?: Willie Blackmon is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
Where is Willie Blackmon located?: Willie Blackmon's practice location on file with NPPES is 17504 E Carriageway Dr Ste B, Hazel Crest, IL 60429-2089.
What is Willie Blackmon's phone number?: The practice phone number listed in the NPPES registry for Willie Blackmon is (708) 799-0300.
Does Willie Blackmon accept Medicare?: Willie Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Willie Blackmon's NPI active?: Yes — Willie Blackmon's NPI (1477762052) is active in the NPPES registry as of the last update on 2009-04-23.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions