Chelsea Blair, APSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1177625 Issued in KY

Practice address

413 E Dixie Ave
Elizabethtown, KY 42701-1162

Phone

(270) 319-9899

Fax

(270) 506-3252

NPI assigned

Mar 30, 2020

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Renest (I) Rise

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
  • NPI 1811861255
  NPD (past)
• Renest Recovery Support Services

  dba reNEST

  • Community/Behavioral Health Agency
  • Elizabethtown, KY
  • NPI 1437624814

  Peer Specialist

  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1083242697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011162",
            "telephone_number": "270-319-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011162",
            "telephone_number": "270-319-9899",
            "fax_number": "270-506-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Ring Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018790",
            "country_code": "US",
            "telephone_number": "844-473-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CHELSEA",
        "credential": "APSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "279993",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1177625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bischoff, APRN, PMHNP
• Jennifer Bischoff, OTR/L
• Lily Gayle Black
• Tracy Diane Black, M.S. CF-SLP
• Donald Edward Blackburn, APRN
• Erika Sparks Blair, APRN
• Joshua Michael Blair, APSS
• Zachary Blair, APSS
• Alisha Blais, LCSW
• Adam Bland, CRNA

• Peer Specialist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.