BLACKMON COUNSELING SERVICES
NPI 1154754547
Community/Behavioral Health in Chicago, IL
About Blackmon Counseling Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKMON COUNSELING SERVICES (NPI 1154754547) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since August 2013. The organization lists Willie L Blackmon, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackmon Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blackmon Counseling Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blackmon Counseling Services's NPI number?
The NPI number for Blackmon Counseling Services is 1154754547. It was assigned to this organization in the NPPES registry on August 20, 2013.
Where is Blackmon Counseling Services located?
Blackmon Counseling Services is located at 5834 S Maplewood Ave, Chicago, IL 60629. The listed phone number is (773) 778-4835.
What is Blackmon Counseling Services's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Blackmon Counseling Services enrolled in Medicare?
Yes. Blackmon Counseling Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blackmon Counseling Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Blackmon Counseling Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blackmon Counseling Services was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Blackmon Counseling Services · NPI 1154754547
Community/Behavioral Health organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1154754547 (Entity type: Organization)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Willie Blackmon, LICENSED PROFESSIONAL COUNSELOR
## Practice location
- **Address:** 5834 S MAPLEWOOD AVE, Chicago, IL 60629-1124
- **Phone:** (773) 778-4835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1154754547) · Data from the CMS NPPES public registry.