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Deactivated NPI 1912335829 Deactivated / Inactive NPI Female Practitioner

Drusilla Blackmon , BA, PSS, CPM-M

Counselor - Professional • Flint, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Drusilla Blackmon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2013
NPI Deactivation Date March 23, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Drusilla Blackmon, BA, PSS, CPM-M was a registered Counselor - Professional practicing in Flint, MI. Throughout an active medical career spanning 7 years, Drusilla Blackmon provided care at the practice location at 1110 ELDON BAKER DR until profile deactivation on 2020-03-23.

Practice Location & Contact Primary Location

Practice Address

1110 Eldon Baker Dr

Flint, MI 485071923

Telephone 8102130015
Fax 8104968539
Associated Practice Facility / Clinic
🏢 Community Recovery Services Facility NPI 1619983194

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
103 Specialists

Practicing in Flint, MI (5077 Statewide)

Telehealth Adoption Rate
5.8% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Practice Associates & Co-Workers

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

28 Associated Practitioners
Eric Dozier

Case Manager/Care Coordinator

NPI 1063334217
Lloyd Mcclelland

Counselor - Mental Health

NPI 1063662856
Jamie Zuniga , REGISTERED NURSE

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1063801181

REGISTEREDNURSE

Katherine Gilbert

Counselor - Mental Health

NPI 1093931412
Thomas Temple

Technician

NPI 1134337074
Kimberlee Ferris

Registered Nurse - Psychiatric/Mental Health

NPI 1164648689

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 23, 2020

Record deactivated on March 23, 2020

NPI Profile Active October 31, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 31, 2013

Registered at 1110 ELDON BAKER DR, FLINT, MI 485071923 (Tel: 8102130015)

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Updated Business Mailing Address October 31, 2013

Registered at 1110 ELDON BAKER DR, FLINT, MI 485071923 (Tel: 8102130015)

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Provider Name / Credentials Updated October 31, 2013

Recorded as DRUSILLA BLACKMON, BA, PSS, CPM-M

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2013

Counselor

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Initial NPI Registration & Enumeration October 31, 2013

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: 1912335829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2013
Last Update: October 31, 2013
Deactivation Date: March 23, 2020

Mailing Address

1110 Eldon Baker Dr

Flint, MI 485071923

Phone: 8102130015

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.