IndividualActive
Jeffrey Blackmon
NPI 1619469830 · Mental Health Counselor · Jackson, MS
Jeffrey Blackmon is a Mental Health Counselor provider in Jackson, MS (NPI 1619469830).
Provider details
- NPI number
- 1619469830
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 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
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
3450 Highway 80 W
Jackson, MS 39209
Phone: (601) 321-2400
Fax: (601) 985-5174
Street-level locationGet directions
Mailing address
4684 Old Jackson Rd
Terry, MS 39170-9214
Registry dates
- Enumerated
- 2018-06-04
- Last updated
- 2018-08-13
Frequently asked questions
- What is Jeffrey Blackmon's NPI number?
- Jeffrey Blackmon's National Provider Identifier (NPI) is 1619469830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Blackmon's specialty?
- Jeffrey Blackmon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeffrey Blackmon located?
- Jeffrey Blackmon's practice location on file with NPPES is 3450 Highway 80 W, Jackson, MS 39209.
- What is Jeffrey Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Blackmon is (601) 321-2400.
- Is Jeffrey Blackmon's NPI active?
- Yes — Jeffrey Blackmon's NPI (1619469830) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.