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MR. ROY ALLN BLANKENSHIP LPC,LMFT,CCADC, CSAT
NPI 1609078500
Counselor - Professional in Kennesaw, GA

Active since June 03, 2007PECOS Enrolled
1301 SHILOH RD NW STE 530, KENNESAW, GA 30144(678) 516-6902(678) 391-5969 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2025, Feb 20, 2019 (2 updates tracked since 2019).

About Mr. Roy Alln Blankenship Lpc,lmft,ccadc, Csat NPPES

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

MR. ROY ALLN BLANKENSHIP LPC,LMFT,CCADC, CSAT (NPI 1609078500) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (LPC007769) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609078500
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ROY ALLN BLANKENSHIPCredential: LPC,LMFT,CCADC, CSAT
Location Address1301 SHILOH RD NW STE 530Kennesaw, GA 30144-7153
Mailing Address1426 Olde Forge LnWoodstock, GA 30189-1553 · (678) 516-6902 · Fax (678) 391-5969
Phone(678) 516-6902
Fax(678) 391-5969
Sole ProprietorYes
Enumeration DateJune 3, 2007
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1609078500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC007769
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0082
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LMFT001409 (GA)
1301 SHILOH RD NW STE 530, Kennesaw, GA 30144
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Roy Alln Blankenship Lpc,lmft,ccadc, Csat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Roy Blankenship reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Authentic Life & Relationship, LLC
Same address
Mental Health (Including Community Mental Health Center)
1301 SHILOH RD NW STE 530
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
NPI 1366906778 (678) 516-6902

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

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

CENTER FOR AUTHENTIC LIFE & RELATIONSHIP, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1301 SHILOH RD NW STE 530
KENNESAW, GA 30144
Cobb County (678) 516-6902

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 Roy Blankenship's NPI number?

The NPI number for Roy Blankenship is 1609078500. It was assigned to this individual provider in the NPPES registry on June 3, 2007.

Where is Roy Blankenship located?

Roy Blankenship practices at 1301 Shiloh Rd NW Ste 530, Kennesaw, GA 30144. The listed phone number is (678) 516-6902.

What is Roy Blankenship's specialty?

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

Is Roy Blankenship enrolled in Medicare?

Yes. Roy Blankenship is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roy Blankenship's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Blankenship reassigns Medicare benefits to Center For Authentic Life & Relationship, LLC (Kennesaw, GA). 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 Roy Blankenship's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Blankenship accept?

Health plans from Oscar Health list Roy Blankenship 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 Roy Blankenship was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.