Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326285743 Individual Practitioner Female Practitioner

Dr. Jennifer King Blackledge , PhD

Psychologist • Roanoke, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Blackledge, PhD is a registered healthcare professional specializing in Psychologist in Roanoke, TX. Practice services are available at 209 TRAVIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

209 Travis St
Ste 105

Roanoke, TX 762628661

Telephone 8179889121
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Roanoke, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Roanoke, TX (2266 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 33692

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Cara Guziak , MS, LPC, NCC, BCN

Counselor - Mental Health

NPI 1598214868

Master of Science, Licensed Professional Counselor, National Certified Counselor, BCN

Dr. Elena Riedo , PsyD

Psychologist - Clinical

NPI 1730566308

Doctor of Psychology (Psy.D.)

Donna Fleming

Psychologist - Counseling

NPI 1790235158

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2014

Registered at 209 TRAVIS ST, STE 105, ROANOKE, TX 762628661 (Tel: 8179889121)

📍
Updated Business Mailing Address March 07, 2014

Registered at 209 TRAVIS ST, STE 105, ROANOKE, TX 762628661 (Tel: 8179889121)

👤
Provider Name / Credentials Updated March 07, 2014

Recorded as JENNIFER BLACKLEDGE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2014

Psychologist (License #33692 in TX)

🟢
Initial NPI Registration & Enumeration January 08, 2009

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: 1326285743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2009
Last Update: March 07, 2014
Sole Proprietor: Yes

Mailing Address

209 Travis St, Ste 105

Roanoke, TX 762628661

Phone: 8179889121

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.