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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Willie Larry Blackmon, LCPC; CADC; MA

Professional Counselor in Hazel Crest, IL · enumerated 2007 · practices at Catherines Vision Health Services LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477762052

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Registry record

Entity type Individual (Type 1)
Name Mr. Willie Larry Blackmon
Credential LCPC; CADC; MA
Sex Male
Practice address 17504 E Carriageway Dr Ste B, Hazel Crest, IL, 60429
Phone (708) 799-0300
Fax (708) 799-0300
Enumeration date May 21, 2007
Last updated in NPPES Apr 23, 2009

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 5848 (IL) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 178-002766 (IL) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 180.007189 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Willie Blackmon's NPI record?
Cross-check NPI 1477762052 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1477762052 active?
Yes, as of the latest NPPES snapshot, NPI 1477762052 is active (record last updated 2009-04-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-23.