Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Stephen Blackstock, LCMHCA

Individual provider Mental Health Counselor · NPI 1740870997

Jacob Stephen Blackstock, LCMHCA is a Mental Health Counselor in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

231 N Spring St
Greensboro, NC 27401-2231
Phone: (336) 899-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A13081 (NC)

Record details

NPI number1740870997
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHCA
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

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