MRS. MARY JANE BLACKMER LPC
NPI 1124743893
Counselor - Professional in Mount Pleasant, MI
About Mrs. Mary Jane Blackmer Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY JANE BLACKMER LPC (NPI 1124743893) is an individual professional provider in Mount Pleasant, Michigan, licensed in Michigan (6451022277) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary Jane Blackmer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Blackmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT PLEASANT, MI 48858
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Blackmer's NPI number?
The NPI number for Mary Blackmer is 1124743893. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Mary Blackmer located?
Mary Blackmer practices at 904 E Preston Rd, Mount Pleasant, MI 48858. The listed phone number is (989) 317-4664.
What is Mary Blackmer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Blackmer enrolled in Medicare?
Yes. Mary Blackmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Blackmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Blackmer reassigns Medicare benefits to Christian Counseling Of Mid Michigan (Mount Pleasant, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Blackmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Blackmer accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Mary Blackmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Blackmer was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Mary Jane Blackmer, LPC · NPI 1124743893
Professional provider in Mount Pleasant, Michigan. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1124743893 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6451022277 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 904 E PRESTON RD, Mount Pleasant, MI 48858-3921
- **Phone:** (989) 317-4664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Christian Counseling Of Mid Michigan (NPI 1366879231, Mount Pleasant, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124743893) · Data from the CMS NPPES public registry.