Active NPIIndividual provider

Whitney Blackham, LPC

Counselor, Professional in Bend, Oregon

NPI Number1609418466
Practice location
40 NW Greenwood Ave Ste 130, Bend, OR 97703-2298
Fax
—
Last updated
August 14, 2026

Whitney Blackham is a Counselor, Professional based in Bend, OR. Whitney Blackham practices in Bend, OR and has the professional credentials of LPC. The NPI Number for Whitney Blackham is 1609418466 and holds a License No. ABA-IN-10203718 (OR). The current practice location address for Whitney Blackham is 40 NW Greenwood Ave Ste 130, Bend, OR 97703-2298 and can be reached out via phone at 541-903-0446.

Provider Profile Details

NPI Number
1609418466
Provider Name
Whitney Blackham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
40 NW Greenwood Ave Ste 130, Bend, OR 97703-2298
Phone Number
541-903-0446
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2019
Last Update Date
August 14, 2026
Certification Date
August 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 NW Greenwood Ave Ste 130
Bend, OR 97703-2298
City
Bend
State
Oregon
Zip
97703-2298
Phone Number
541-903-0446
Bend, OR 97703Get directions →

Provider Business Mailing Address Details

Address
40 NW Greenwood Ave Ste 130
Bend, OR 97703-2298
City
Bend
State
OR
Zip
97703-2298
Phone Number
541-903-0446

License Information

License Number (1)
ABA-IN-10203718
License State (1)
OR
Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
C9671
License State (2)
OR
Taxonomy (2)
Counselor, Professional · 101YP2500X · 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 Whitney Blackham, LPC?

The NPI number of Whitney Blackham, LPC is 1609418466. It was assigned on October 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Whitney Blackham, LPC?

Whitney Blackham, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number ABA-IN-10203718.

Where does Whitney Blackham, LPC practice?

The practice location is 40 NW Greenwood Ave Ste 130, Bend, OR 97703-2298. The office can be reached at 541-903-0446 (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 1609418466 directly on the NPPES registry website.

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