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

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: October 18, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kecia Blakely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kecia Blakely, Msp, Lmhc
Same address
Mental Health
52189 SCOTT ST
South Bend, IN 46637
  • Reassigned Medicare billing, Indiana enrollment
NPI 1598446395 (574) 208-3359

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.

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.

Which organization bills Medicare for Kecia Blakely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kecia Blakely reassigns Medicare benefits to Kecia Blakely, Msp, Lmhc (South Bend, IN). 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 Kecia Blakely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kecia Blakely accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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.