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MICHAEL KENT BLOSSER MS, LPC
NPI 1467054163
Counselor - Professional in Moraine, OH

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment
3095 KETTERING BLVD, MORAINE, OH 45439(937) 293-8300(937) 534-1352 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Jan 21, 2022, Nov 9, 2020 (3 updates tracked since 2020).

About Michael Kent Blosser Ms, Lpc NPPES

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

MICHAEL KENT BLOSSER MS, LPC (NPI 1467054163) is an individual professional provider in Moraine, Ohio, licensed in Ohio (E.2606170) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467054163
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL KENT BLOSSERCredential: MS, LPC
Location Address3095 KETTERING BLVDMoraine, OH 45439-1983
Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983 · (937) 293-8300 · Fax (937) 534-1352
Phone(937) 293-8300
Fax(937) 534-1352
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 9, 2020
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1467054163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.2606170
Also ListedCounselorTaxonomy 101Y00000X · License C.2203971 (OH)
3095 KETTERING BLVD, Moraine, OH 45439
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Kent Blosser Ms, 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 ID2769964881
PECOS Enrollment IDI20260306001158
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Blosser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Community Inc
Same address
Mental Health (Including Community Mental Health Center)
3095 KETTERING BLVD
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1639128176 (937) 293-8300

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSA NICHOLE HOSTETTER
Social Worker
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1384
HOLLY MICHELLE VADNAIS
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
ELIZABETH LIAPIS LISW-SUPV
Social Worker (Clinical)
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
KIMBERLY YATES
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
LOGAN BRUNO
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300
MISS WILLIETTE ANDERSON
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 991-4817
HANNAH MILLER
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 534-1554
MORGAN RENCH
Case Manager/Care Coordinator
3095 KETTERING BLVD
MORAINE, OH 45439
Montgomery County (937) 293-8300

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 Michael Blosser's NPI number?

The NPI number for Michael Blosser is 1467054163. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Michael Blosser located?

Michael Blosser practices at 3095 Kettering Blvd, Moraine, OH 45439. The listed phone number is (937) 293-8300.

What is Michael Blosser's specialty?

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

Is Michael Blosser enrolled in Medicare?

Yes. Michael Blosser 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.

Which organization bills Medicare for Michael Blosser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Blosser reassigns Medicare benefits to South Community Inc (Moraine, OH). 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 Michael Blosser'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 Michael Blosser was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.