Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073809984 Individual Practitioner Male Practitioner

Colton Lamont Blackham

Counselor • Moroni, UT

Professional Overview & Biography Verified Profile Summary

Colton Blackham is a registered healthcare professional specializing in Counselor in Moroni, UT. Practice services are available at 21260 N 1450 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21260 N 1450 E

Moroni, UT 846460461

Telephone 4354455200
Fax 4354455201
Associated Practice Facility / Clinic
🏢 Lighthouse Ranch Facility NPI 1982972964

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Moroni, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
50 Specialists

Practicing in Moroni, UT (3535 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

40 Associated Practitioners
Michael Hassler

Substance Abuse Rehabilitation Facility

NPI 1043592637
Nathan Miner

Counselor

NPI 1043639156
Mark Puett

Counselor

NPI 1053738567
Isaac Blount

Counselor

NPI 1093017352
NPI 1114229499
Amy Brown

Counselor

NPI 1114448362

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2011

Registered at 21260 N 1450 E, MORONI, UT 846460461 (Tel: 4354455200)

📍
Updated Business Mailing Address June 20, 2011

Registered at PO BOX 461, 21260 N 1450 E, MORONI, UT 846460461 (Tel: 4354455200)

👤
Provider Name / Credentials Updated June 20, 2011

Recorded as COLTON BLACKHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Counselor

🟢
Initial NPI Registration & Enumeration June 20, 2011

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: 1073809984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2011
Last Update: June 20, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 461, 21260 N 1450 E

Moroni, UT 846460461

Phone: 4354455200

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.