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DEANNA R BLYTH LPC
NPI 1295370930
Counselor - Mental Health in New Lenox, IL

Active since November 15, 2019PECOS EnrolledAccepts Medicare Assignment
3513 CRICKET AVE, NEW LENOX, IL 60451(815) 351-0208 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deanna R Blyth Lpc NPPES

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

DEANNA R BLYTH LPC (NPI 1295370930) is an individual mental health provider in New Lenox, Illinois, licensed in Illinois (178015369) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295370930
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEANNA R BLYTHCredential: LPC
Location Address3513 CRICKET AVENew Lenox, IL 60451-9785
Mailing Address3513 Cricket AveNew Lenox, IL 60451-9785 · (815) 351-0208
Phone(815) 351-0208
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 15, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1295370930 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 IL · 178015369
3513 CRICKET AVE, New Lenox, IL 60451
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Other Identifiers 1

Other178015369IL · Illinois

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deanna R Blyth 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.

PECOS PAC ID9931542065
PECOS Enrollment IDI20240206002326
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Deanna Blyth's NPI number?

The NPI number for Deanna Blyth is 1295370930. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Deanna Blyth located?

Deanna Blyth practices at 3513 Cricket Ave, New Lenox, IL 60451. The listed phone number is (815) 351-0208.

What is Deanna Blyth's specialty?

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

Is Deanna Blyth enrolled in Medicare?

Yes. Deanna Blyth 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.

When was this NPI record last updated?

The NPPES record for Deanna Blyth was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.