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Active NPI 1295292274 Individual Practitioner Male Practitioner

Carroll D. Blackledge , MA, P-LPC

Counselor - Professional • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Carroll Blackledge, MA, P-LPC is a registered healthcare professional specializing in Counselor - Professional in Jackson, MS. Practice services are available at 4500 I 55 N STE 208 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 I 55 N Ste 208

Jackson, MS 392115931

Telephone 6014057440
Associated Practice Facility / Clinic
🏢 Mindful Solutions, Llc Facility NPI 1083176218

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
150 Specialists

Practicing in Jackson, MS (1096 Statewide)

Telehealth Adoption Rate
3.3% 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

State License MS P-0512

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Heath Ferguson

Counselor - Professional

NPI 1073210449
Carolyn Pillow , MAC

Counselor - Mental Health

NPI 1093426330
Leah Vernon , LPC

Counselor - Professional

NPI 1174083885

Licensed Professional Counselor

Tyler Stacy , LPC

Counselor - Professional

NPI 1376082719

Licensed Professional Counselor

Meriwether Marchetti , PLPC, MS

Counselor - Mental Health

NPI 1629929708

PLPC, Master of Science

Lisa Owens , LPC

Counselor - Professional

NPI 1730603242

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2019

Registered at 4500 I 55 N STE 208, JACKSON, MS 392115931 (Tel: 6014057440)

📍
Updated Business Mailing Address February 26, 2019

Registered at 107 LAUREL GLEN CT, MADISON, MS 391107395 (Tel: 6016227277)

👤
Provider Name / Credentials Updated February 26, 2019

Recorded as CARROLL BLACKLEDGE, MA, P-LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2019

Counselor (License #P-0512 in MS)

🟢
Initial NPI Registration & Enumeration February 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295292274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2019
Last Update: February 26, 2019
Sole Proprietor: Yes

Mailing Address

107 Laurel Glen Ct

Madison, MS 391107395

Phone: 6016227277

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.