MS. MELISSA ANN BLANKENSHIP LCPC
NPI 1649919739
Counselor - Professional in Springfield, IL
Active since May 27, 2022
About Ms. Melissa Ann Blankenship Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MELISSA ANN BLANKENSHIP LCPC (NPI 1649919739) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180.017074) and active in the NPI registry since May 2022. She maintains a secondary practice location in Springfield.
NPPES Registry Identity
NPI1649919739
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MELISSA ANN BLANKENSHIPCredential: LCPC
Location Address2200 S 6TH STSpringfield, IL 62703-3454
Mailing Address3359 Smythberry Ln Apt 2Springfield, IL 62711-8212 · (217) 622-5768
Phone(217) 698-7150
Sole ProprietorYes
Enumeration DateMay 27, 2022
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1649919739 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.017074
2200 S 6TH ST, Springfield, IL 62703
Secondary Practice Location 1
Location 12609 Montega Dr Ste BSpringfield, IL 62704-7011 · Phone (217) 733-0478 · Fax (217) 771-1727
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649919739, enumerated as an "individual" on May 27, 2022.
The provider is located at 2200 S 6TH ST SPRINGFIELD, IL 62703 and the phone number is (217) 698-7150.
Counselor with taxonomy code 101YP2500X and a focus in Professional.