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EARLENE BLEVINS, MA, LPC
NPI 1306394564
Counselor - Professional in Traverse City, MI

Active since September 16, 2016
210 W FIFTEENTH ST, TRAVERSE CITY, MI 49684(231) 486-0119(231) 486-0119 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2016, Sep 16, 2016 (2 updates tracked since 2016).

About Earlene Blevins, Ma, Lpc NPPES

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

EARLENE BLEVINS, MA, LPC (NPI 1306394564) is a healthcare organization registered as a professional in Traverse City, Michigan and active in the NPI registry since September 2016. The organization lists Earlene Wilhelm Blevins, Owner, as its authorized official.

NPPES Registry Identity

NPI1306394564
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameEARLENE BLEVINS, MA, LPC
Location Address210 W FIFTEENTH STTraverse City, MI 49684-4109
Mailing Address2150 S Airport Rd W Ste CTraverse City, MI 49684-4705 · (231) 486-0119 · Fax (231) 486-0119
Phone(231) 486-0119
Fax(231) 486-0119
Organization SubpartNo
Authorized OfficialEarlene Wilhelm BlevinsOwner · (231) 486-0119
Enumeration DateSeptember 16, 2016
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1306394564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401009566
210 W FIFTEENTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earlene Blevins, Ma, Lpc 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 Earlene Blevins, Ma, Lpc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Earlene Blevins, LPC
Mental Health Counselor
NPI 1669505806
221 GARLAND ST STE. M
Traverse City, MI 49684
(231) 486-0119
✔ PECOS✔ Accepts Medicare5.5 mi

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 Earlene Blevins, Ma, Lpc's NPI number?

The NPI number for Earlene Blevins, Ma, Lpc is 1306394564. It was assigned to this organization in the NPPES registry on September 16, 2016.

Where is Earlene Blevins, Ma, Lpc located?

Earlene Blevins, Ma, Lpc is located at 210 W Fifteenth St, Traverse City, MI 49684. The listed phone number is (231) 486-0119.

What is Earlene Blevins, Ma, Lpc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Earlene Blevins, Ma, Lpc enrolled in Medicare?

Yes. Earlene Blevins, Ma, Lpc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Earlene Blevins, Ma, Lpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Earlene Blevins, Ma, Lpc. 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.

What insurance does Earlene Blevins, Ma, Lpc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Earlene Blevins, Ma, Lpc 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 Earlene Blevins, Ma, Lpc was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.