KECIA MARIE BLAKELY MSPSY, LMHC
NPI 1750602355
Counselor - Mental Health in South Bend, IN

Q: What is Kecia Blakely's NPI number?

The NPI number for Kecia Blakely is 1750602355. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Kecia Blakely's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kecia Blakely was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment

52189 SCOTT ST, SOUTH BEND, IN 46637(574) 208-3359(866) 812-9889 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kecia Marie Blakely Mspsy, Lmhc NPPES

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

KECIA MARIE BLAKELY MSPSY, LMHC (NPI 1750602355) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39004492A) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1750602355

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKECIA MARIE BLAKELYCredential: MSPSY, LMHC

Location Address52189 SCOTT STSouth Bend, IN 46637-2952

Mailing Address1143 E Ireland Rd # 1003South Bend, IN 46614-3446 · (574) 208-3359 · Fax (866) 812-9889

Phone(574) 208-3359

Fax(866) 812-9889

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 17, 2010

Last NPPES UpdateApril 20, 2023

NPPES CertifiedApril 20, 2023

✔ NPI 1750602355 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 IN · 39004492A

52189 SCOTT ST, South Bend, IN 46637

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Accepted Insurance

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

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

Kecia Marie Blakely Mspsy, Lmhc 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 ID9739629973

PECOS Enrollment IDI20240913002567

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

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

KECIA BLAKELY, MSP, LMHC

Counselor (Mental Health)

52189 SCOTT ST
SOUTH BEND, IN 46637

St. Joseph County (574) 208-3359

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's NPI number?

The NPI number for Kecia Blakely is 1750602355. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Kecia Blakely located?

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

What is Kecia Blakely's specialty?

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

Is Kecia Blakely enrolled in Medicare?

Yes. Kecia Blakely 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.

What insurance does Kecia Blakely accept?

Health plans from CareSource list Kecia 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 Kecia Blakely was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.