Active NPI 1053782748 Individual Practitioner Female Practitioner

Heather Rain Blackburn , RADT

Counselor • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Heather Blackburn, RADT is a registered healthcare professional specializing in Counselor in Placerville, CA. Practice services are available at 2844 COLOMA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2844 Coloma St

Placerville, CA 956674406

Telephone 5306443758

Fax 5306443782

Associated Practice Facility / Clinic

🏢 Progress House, Inc. Facility NPI 1215072293

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Placerville, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

24 Specialists

Practicing in Placerville, 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

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

33 Associated Practitioners

Christi Mateen

Specialist

NPI 1023421252

Frances Dubrel

Social Worker - School

NPI 1043694177

Kayla Coffman

Counselor - Addiction (Substance Use Disorder)

NPI 1154294692

Michelle Boyd , R1470860622

Counselor - Addiction (Substance Use Disorder)

NPI 1215667043

Theresa Russell , CADC-11

Specialist

NPI 1255465530

CADC11

Kelli Mcpartland , RADT-I

Counselor - Addiction (Substance Use Disorder)

NPI 1346853660

RADTI

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2015

Registered at 2844 COLOMA ST, PLACERVILLE, CA 956674406 (Tel: 5306443758)

📍

Updated Business Mailing Address October 07, 2015

Registered at PO BOX 586, CAMINO, CA 957090586 (Tel: 5306443758)

👤

Provider Name / Credentials Updated October 07, 2015

Recorded as HEATHER BLACKBURN, RADT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Counselor

🟢

Initial NPI Registration & Enumeration October 07, 2015

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: 1053782748

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 07, 2015

Last Update: October 07, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 586

Camino, CA 957090586

Phone: 5306443758

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.