Active NPIIndividual providerSole proprietor

Marie J Blackman

Counselor, Mental Health in East Elmhurst, New York

NPI Number1407776099
Practice location
1919 Hazen St, East Elmhurst, NY 11370-1210
Fax
—
Last updated
July 15, 2026

Marie Joelle Blackman is a Counselor, Mental Health based in East Elmhurst, NY. Marie Joelle Blackman practices in East Elmhurst, NY. The NPI Number for Marie Joelle Blackman is 1407776099 and holds a License No. 016664 (NY). The current practice location address for Marie Joelle Blackman is 1919 Hazen St, East Elmhurst, NY 11370-1210 and can be reached out via phone at 718-809-2388.

Provider Profile Details

NPI Number
1407776099
Provider Name
Marie Joelle Blackman
Provider Entity Type
Individual
Gender
Female
Address
1919 Hazen St, East Elmhurst, NY 11370-1210
Phone Number
718-809-2388
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 15, 2026
Last Update Date
July 15, 2026
Certification Date
July 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1919 Hazen St
East Elmhurst, NY 11370-1210
Zip
11370-1210
Phone Number
718-809-2388
East Elmhurst, NY 11370Get directions →

Provider Business Mailing Address Details

Address
449 Stanley Pl
Rahway, NJ 07065-2519
City
Rahway
State
NJ
Zip
07065-2519
Phone Number
718-809-2388

License Information

License Number
016664
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marie J Blackman?

The NPI number of Marie J Blackman is 1407776099. It was assigned on July 15, 2026 and is currently active in the NPPES registry.

What is the specialty of Marie J Blackman?

Marie J Blackman is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 016664.

Where does Marie J Blackman practice?

The practice location is 1919 Hazen St, East Elmhurst, NY 11370-1210. The office can be reached at 718-809-2388 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407776099 directly on the NPPES registry website.

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