Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE JILLIAN KELLUM LCMHC
NPI 1215699483
Counselor - Mental Health in Charlotte, NC

Q: What is Blake Kellum's NPI number?

The NPI number for Blake Kellum is 1215699483. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Q: What is Blake Kellum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Blake Kellum was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since October 06, 2021

2015 AYRSLEY TOWN BLVD STE 302-A, CHARLOTTE, NC 28273(704) 350-5324(980) 458-6037 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Aug 11, 2022, Oct 6, 2021 (3 updates tracked since 2021).

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About Blake Jillian Kellum Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE JILLIAN KELLUM LCMHC (NPI 1215699483) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (16773) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1215699483

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBLAKE JILLIAN KELLUMCredential: LCMHC

Location Address2015 AYRSLEY TOWN BLVD STE 302-ACharlotte, NC 28273-4067

Mailing Address2015 Ayrsley Town Blvd Ste 302-aCharlotte, NC 28273-4067 · (704) 981-1473

Phone(704) 350-5324

Fax(980) 458-6037

Sole ProprietorYes

Enumeration DateOctober 6, 2021

Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1215699483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 16773

2015 AYRSLEY TOWN BLVD STE 302-A, Charlotte, NC 28273

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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 Blake Kellum's NPI number?

The NPI number for Blake Kellum is 1215699483. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Blake Kellum located?

Blake Kellum practices at 2015 Ayrsley Town Blvd Ste 302-A, Charlotte, NC 28273. The listed phone number is (704) 350-5324.

What is Blake Kellum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Blake Kellum accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Blake Kellum 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 Blake Kellum was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.