Katherine Hope Blackley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8984 Issued in SC

Practice address

2764 Pleasant Rd Ste A413
Fort Mill, SC 29708-7213

Phone

(800) 857-0709

Fax

(803) 560-0414

NPI assigned

Apr 14, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tranquil Innovations, LLC

  • Community/Behavioral Health Agency
  • Marion, SC
  • NPI 1154864072

  Counselor

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1073308441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD STE A413",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087213",
            "telephone_number": "800-857-0709",
            "fax_number": "803-560-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD STE A413",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087213",
            "telephone_number": "800-857-0709",
            "fax_number": "803-560-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 W Poinsett St Ste B31",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296501251",
            "country_code": "US",
            "telephone_number": "803-560-0414",
            "fax_number": "803-560-0414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 N Main St Unit B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036224",
            "country_code": "US",
            "telephone_number": "803-560-0414",
            "fax_number": "803-560-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKLEY",
        "first_name": "KATHERINE",
        "middle_name": "HOPE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "8984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8984",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of South Carolina, Inc.
• Debra Bisaccia, MSPT
• Jacqueline Bithorn
• Bizzy Kidz Kab Company, LLC
• Paige Black
• Alisha Blackmon
• Shelby Lynn Blackwell
• Anna Marie Blahnik, RD
• Jordan Blakeney
• Mindy L Blitzer, PT

• Professional Counselor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.