Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629853676 Individual Practitioner Female Practitioner

Kendall Blackburn

Counselor • Oceanside, CA

Professional Overview & Biography Verified Profile Summary

Kendall Blackburn is a registered healthcare professional specializing in Counselor in Oceanside, CA. Practice services are available at 321 CASSIDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

321 Cassidy St

Oceanside, CA 920545314

Telephone 7607212171
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Oceanside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Oceanside, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License CA MPSS-GWZKB

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jefri Edwards , MA

Counselor - Mental Health

NPI 1003079542

Master of Arts

Amber Riedel

Marriage & Family Therapist

NPI 1033439724
Priscilla Do

Licensed Vocational Nurse

NPI 1043078546
Aleni Martin

Social Worker - Clinical

NPI 1043094683
Brooke Rhoades

Counselor - Mental Health

NPI 1043968662
Heather Miramontes

Rehabilitation Practitioner

NPI 1043998560

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2023

Registered at 321 CASSIDY ST, OCEANSIDE, CA 920545314 (Tel: 7607212171)

📍
Updated Business Mailing Address September 05, 2023

Registered at 321 CASSIDY ST, OCEANSIDE, CA 920545314

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as KENDALL BLACKBURN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 29, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629853676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2023
Last Update: September 05, 2023
Sole Proprietor: No

Mailing Address

321 Cassidy St

Oceanside, CA 920545314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.