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INDIA BLAKELY LCPC
NPI 1710594445
Counselor - Mental Health in East Hazel Crest, IL

Active since September 27, 2020PECOS Enrolled
17337 WOODED PATH DR APT 3S, EAST HAZEL CREST, IL 60429(708) 805-9380 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About India Blakely Lcpc NPPES

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

INDIA BLAKELY LCPC (NPI 1710594445) is an individual mental health provider in East Hazel Crest, Illinois, licensed in Illinois (180007413) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710594445
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameINDIA BLAKELYCredential: LCPC
Location Address17337 WOODED PATH DR APT 3SEast Hazel Crest, IL 60429-2619
Mailing Address18300 S. Halsted, Suite B Mailbox 107Glenwood, IL 60425 · (312) 736-2060
Phone(708) 805-9380
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 27, 2020
NPPES CertifiedSeptember 27, 2020
✔ NPI 1710594445 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 IL · 180007413
17337 WOODED PATH DR APT 3S, East Hazel Crest, IL 60429
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

India Blakely Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901375179
PECOS Enrollment IDI20260615000647, I20260624000679
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 India Blakely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Zoe Community Counseling LLC
1.3 mi
Community/Behavioral Health
18300 S HALSTED ST STE B
Glenwood, IL 60425
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1285382788 (312) 736-2060

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 India Blakely's NPI number?

The NPI number for India Blakely is 1710594445. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is India Blakely located?

India Blakely practices at 17337 Wooded Path Dr Apt 3S, East Hazel Crest, IL 60429. The listed phone number is (708) 805-9380.

What is India Blakely's specialty?

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

Is India Blakely enrolled in Medicare?

Yes. India Blakely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for India Blakely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), India Blakely reassigns Medicare benefits to Zoe Community Counseling LLC (Glenwood, IL). 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 India Blakely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does India Blakely accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list India Blakely 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 India Blakely was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.