Active NPI
Mary Jane Blackmer, LPC
- Professional Counselor
- Mount Pleasant, MI
National Provider Identifier
1124743893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451022277
- Practice address
- 904 E Preston Rd
Mount Pleasant, MI 48858-3921 - Phone
- (989) 317-4664
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451022277 | MI | Primary |
Addresses
Primary practice location
904 E Preston Rd
Mount Pleasant, MI 48858-3921
Mailing address
904 E Preston Rd
Mt Pleasant, MI 48858-3921
Phone (989) 317-4664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
904 E Preston Rd
Mt Pleasant, MI 48858-3921
Phone (989) 317-4664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022277 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Counseling of Mid Michigan | Professional | Current | Accepting new patients |
Locations
904 E Preston Rd
Mt Pleasant, MI 48858
Phone (989) 317-4664
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Mount Pleasant, MI
- NPI 1366879231
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1124743893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 E PRESTON RD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488583921",
"telephone_number": "989-317-4664",
"fax_number": "989-317-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E PRESTON RD",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583921",
"telephone_number": "989-317-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMER",
"first_name": "MARY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451022277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.