NPI 1083682306 · live from the CMS NPI Registry
Clare Ellen Blackburn, LPC, LMFT
Marriage & Family Therapist in Oklahoma City, OK. National Provider Identifier 1083682306, active.
NPI record
| NPI | 1083682306 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5700 N Portland Ave, Ste. 315, Oklahoma City, OK 73112 |
| Practice phone | 405-949-2593 |
| Enumerated | March 11, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 3011 (OK) |
| Marriage & Family Therapist primary | 106H00000X | 070 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.