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

Jason Blakemore, LPC

Individual provider Professional Counselor · NPI 1518555218

Jason Blakemore, LPC is a Clinical Social Worker in High Ridge, Missouri. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1463 Heritage Valley Dr
High Ridge, MO 63049-1167
Phone: (573) 819-5589
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2014044619 (MO)

Record details

NPI number1518555218
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021
Mailing address1463 Heritage Valley Dr, High Ridge, MO 63049-1167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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