KECIA BLAKELY, MSP, LMHC
NPI 1598446395
Counselor - Mental Health in South Bend, IN

Active since July 26, 2023
52189 SCOTT ST, SOUTH BEND, IN 46637(574) 208-3359 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 3, 2024, Jul 26, 2023 (2 updates tracked since 2023).

About Kecia Blakely, Msp, Lmhc NPPES

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

KECIA BLAKELY, MSP, LMHC (NPI 1598446395) is a healthcare organization registered as a mental health in South Bend, Indiana and active in the NPI registry since July 2023. The organization lists Kecia Marie Blakely, Owner, as its authorized official.

NPPES Registry Identity

NPI1598446395
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKECIA BLAKELY, MSP, LMHC
Location Address52189 SCOTT STSouth Bend, IN 46637
Mailing Address52189 Scott StSouth Bend, IN 46637-2952 · (574) 800-9681
Organization SubpartNo
Authorized OfficialKecia Marie BlakelyOwner · (574) 800-9681
Enumeration DateJuly 26, 2023
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1598446395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
52189 SCOTT ST, South Bend, IN 46637

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kecia Blakely, Msp, Lmhc 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 Kecia Blakely, Msp, Lmhc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1750602355
52189 SCOTT ST
South Bend, IN 46637
(574) 208-3359
✔ PECOS✔ Accepts MedicareSame address

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 Kecia Blakely, Msp, Lmhc's NPI number?

The NPI number for Kecia Blakely, Msp, Lmhc is 1598446395. It was assigned to this organization in the NPPES registry on July 26, 2023.

Where is Kecia Blakely, Msp, Lmhc located?

Kecia Blakely, Msp, Lmhc is located at 52189 Scott St, South Bend, IN 46637. The listed phone number is (574) 208-3359.

What is Kecia Blakely, Msp, Lmhc's specialty?

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

Is Kecia Blakely, Msp, Lmhc enrolled in Medicare?

Yes. Kecia Blakely, Msp, Lmhc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kecia Blakely, Msp, Lmhc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kecia Blakely, Msp, Lmhc. 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.

When was this NPI record last updated?

The NPPES record for Kecia Blakely, Msp, Lmhc was last updated on September 3, 2024. 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.