CARLY BLEMMEL MSHR. LPC
NPI 1194116715
Counselor - Professional in Roseburg, OR
About Carly Blemmel Mshr. Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY BLEMMEL MSHR. LPC (NPI 1194116715) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (C6861) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roseburg.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Blemmel Mshr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Blemmel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roseburg, OR 97470
- Reassigned Medicare billing, Oregon enrollment
- 83 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97471
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 Carly Blemmel's NPI number?
The NPI number for Carly Blemmel is 1194116715. It was assigned to this individual provider in the NPPES registry on February 18, 2015.
Where is Carly Blemmel located?
Carly Blemmel practices at 2589 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 839-1345.
What is Carly Blemmel's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Carly Blemmel enrolled in Medicare?
Yes. Carly Blemmel is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Blemmel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Blemmel reassigns Medicare benefits to Adapt (Roseburg, OR). 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 Carly Blemmel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carly Blemmel was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carly Blemmel, MSHR. LPC · NPI 1194116715
Professional provider in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since February 18, 2015.
## Identity
- **NPI:** 1194116715 (Entity type: Individual)
- **Enumerated:** February 18, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C6861 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2589 NW EDENBOWER BLVD, Roseburg, OR 97471-6224
- **Phone:** (541) 839-1345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Adapt (NPI 1639682883, Roseburg, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194116715) · Data from the CMS NPPES public registry.