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Dr. Aimee Blackham , PhD

Psychologist - Counseling β€’ Ruston, LA

Active NPI 1114332038 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

622 Burgessville Rd
Ruston, LA 712705154

Call 3182247223 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

622 Burgessville Rd

Ruston, LA 712705154

Telephone 3182247223
Fax 3184141004
Organization at the Same NPPES Address or Phone
Thinktrek Llc Facility NPI 1215415229

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Thinktrek Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Blackham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Blackham as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ruston and Louisiana

6 active clinicians are listed under Psychologist - Counseling with a practice address in Ruston, LA (69 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-17
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

License # reported to NPPES LA 1373

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
567123890 (LA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20240109004863

Enrollment State Jurisdiction

LA

PECOS Control ID

3375994809

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Thinktrek Llc

622 Burgessville Rd, Ruston, LA 712705154

Phone: 3182247223

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address February 04, 2026

Registered at 2804 LAKEVIEW DR, RUSTON, LA 712705254 (Tel: 3182430465)

πŸ“
Updated Practice Location October 13, 2025

Registered at 622 BURGESSVILLE RD, RUSTON, LA 712705154 (Tel: 3182247223)

πŸ“
Updated Practice Location August 07, 2025

Registered at 206 E REYNOLDS DR STE 1200, RUSTON, LA 712702809 (Tel: 3182247223)

πŸ“
Updated Practice Location July 09, 2025

Registered at 3018 OLD MINDEN RD STE 1200, BOSSIER CITY, LA 711122476 (Tel: 3182247223)

βœ…
NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 30, 2016

Registered at 617 S TRENTON ST, RUSTON, LA 712705040 (Tel: 3182514659)

πŸ“
Business Mailing Address (Initial Record) September 30, 2016

Registered at 3506 EVELYN CIR, RUSTON, LA 712705323 (Tel: 3182430465)

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2016

Recorded as AIMEE BLACKHAM, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Psychologist (license number reported to NPPES: LA 1373)

🟒
Initial NPI Registration & Enumeration June 30, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114332038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2014
Last Update: June 17, 2026
Sole Proprietor: Yes

Mailing Address

2804 Lakeview Dr

Ruston, LA 712705254

Phone: 3182430465

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.