Michelle Blackmore
Counselor, Mental Health in Worcester, Massachusetts
1609583624- Practice location
- 72 Jacques Ave, Worcester, MA 01610-2476
- Phone
- 508-860-1045
- Fax
- —
- Last updated
- October 3, 2025
Michelle Blackmore is a Counselor, Mental Health based in Worcester, MA. Michelle Blackmore practices in Worcester, MA. The NPI Number for Michelle Blackmore is 1609583624 and holds a License No. LMHC10005079 (MA). The current practice location address for Michelle Blackmore is 72 Jacques Ave, Worcester, MA 01610-2476 and can be reached out via phone at 508-860-1045.
Provider Profile Details
- NPI Number
- 1609583624
- Provider Name
- Michelle Blackmore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 72 Jacques Ave, Worcester, MA 01610-2476
- Phone Number
- 508-860-1045
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2022
- Last Update Date
- October 3, 2025
- Certification Date
- October 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 72 Jacques Ave
Worcester, MA 01610-2476 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-2476
- Phone Number
- 508-860-1045
Provider Business Mailing Address Details
- Address
- 31 Taft RD
Sterling, MA 01564-2117 - City
- Sterling
- State
- MA
- Zip
- 01564-2117
License Information
- License Number
- LMHC10005079
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michelle Blackmore?
The NPI number of Michelle Blackmore is 1609583624. It was assigned on October 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Michelle Blackmore?
Michelle Blackmore is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LMHC10005079.
Where does Michelle Blackmore practice?
The practice location is 72 Jacques Ave, Worcester, MA 01610-2476. The office can be reached at 508-860-1045 (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 1609583624 directly on the NPPES registry website.