Chandra Blakely, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005008 Issued in GA

Practice address

215 Lakewood Way
Suite 205
Atlanta, GA 30315

Phone

(678) 335-9010

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

Yes

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.

• Counseling Services of Atlanta, LLC

  • Professional Counselor
  • Marietta, GA
  • NPI 1508271024

  GA, Professional

  Medicare reassignment Care Compare group NPD
• Access Mental Health Agency, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1881848174
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Services of Atlanta LLC 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2014.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1356512180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LAKEWOOD WAY",
            "address_2": "SUITE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30315",
            "telephone_number": "678-335-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LAKEWOOD WAY",
            "address_2": "SUITE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30315",
            "telephone_number": "678-335-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "CHANDRA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry L Blake, PHD
• Somer Blake
• Victor Blake, MD
• William T Blake, MD
• Rayne Jahliah Blakely-Lopez, BA, MN, RN
• Lisa Dove Blakely, RN
• Veronica Blakely
• Nakayla Blakemore
• Gerald Blakey
• Lydia Blakey, DC

• All providers in Atlanta, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.

Verify at the official NPI Registry.