SearchNew Mexico101YP2500X

Jay Blackwell, MA, LPCC

NPI 1063178440 · on the registry since 2021

Practice

Address
3150 Carlisle Blvd Ne Ste 105
Albuquerque, NM 87110
Phone
(505) 652-4659
Organisation at this address
Ravensnow L.L.C.
Su Vida Services, Inc.
H And W Associates, Llc
Umoja Behavioral Health
Laurie Mendiola, Cnp,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
175T00000X
101YM0800X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico