KODY BLANK LPC
NPI 1487518890
Counselor - Mental Health in Fredericksburg, VA

Active since December 10, 2025PECOS Enrolled
1135 HEATHERSTONE DR, FREDERICKSBURG, VA 22407(540) 699-0226 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kody Blank Lpc NPPES

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

KODY BLANK LPC (NPI 1487518890) is an individual mental health provider in Fredericksburg, Virginia, licensed in Virginia (0701015693) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487518890
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKODY BLANKCredential: LPC
Location Address1135 HEATHERSTONE DRFredericksburg, VA 22407-4828
Mailing Address1135 Heatherstone DrFredericksburg, VA 22407-4828 · (540) 699-0226
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
NPI 1487518890 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 VA · 0701015693
1135 HEATHERSTONE DR, Fredericksburg, VA 22407

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kody Blank Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264909654
PECOS Enrollment IDI20260422003016
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.

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
1135 HEATHERSTONE DR
FREDERICKSBURG, VA 22407
Counselor (Professional)
1135 HEATHERSTONE DR
FREDERICKSBURG, VA 22407
Social Worker (Clinical)
1135 HEATHERSTONE DR
FREDERICKSBURG, VA 22407
Home Health
1135 HEATHERSTONE DR, SUITE 21
FREDERICKSBURG, VA 22407
Social Worker (Clinical)
1135 HEATHERSTONE DR
FREDERICKSBURG, VA 22407
Social Worker (Clinical)
1135 HEATHERSTONE DR
FREDERICKSBURG, VA 22407

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 Kody Blank's NPI number?

The NPI number for Kody Blank is 1487518890. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Kody Blank located?

Kody Blank practices at 1135 Heatherstone Dr, Fredericksburg, VA 22407. The listed phone number is (540) 699-0226.

What is Kody Blank's specialty?

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

Is Kody Blank enrolled in Medicare?

Yes. Kody Blank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kody Blank was last updated on December 10, 2025. 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.