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

Active since June 03, 2007PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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 and is a graduate of Other (2010).

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
Medical School CMSOtherGraduated 2010
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roy Alln Blankenship Lpc,lmft,ccadc, Csat 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 ID8325554579
PECOS Enrollment IDI20250723003343
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 2

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
MICHAEL DAVID SHORTER LCSW
Social Worker (Clinical)
1301 SHILOH RD NW STE 530
KENNESAW, GA 30144
Cobb County (770) 376-0354

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roy Blankenship was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.