Individual provider Active NPI

Kristy Blackmer, MA, LPC

  • Mental Health Counselor
  • Grand Ledge, MI
National Provider Identifier
1669818381
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014911 Issued in MI
Practice address
405 W Front St
Grand Ledge, MI 48837-1019
Phone
(517) 526-3787
Fax
(888) 622-1865
NPI assigned
May 21, 2013
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014911 MI
Mental Health Counselor 101YM0800X 6401014911 MI Primary

Addresses

Primary practice location

405 W Front St
Grand Ledge, MI 48837-1019

Mailing address

405 W Front St
Grand Ledge, MI 48837-1019
Phone (517) 526-3787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014911MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Counseling & Consulting Services, LLC Counselor CurrentSince Nov 9, 2021 Accepting new patients

Locations

212 Kent St
Ste 4B
Portland, MI 48875
Phone (517) 526-3787

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1669818381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W FRONT ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371019",
            "telephone_number": "517-526-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W FRONT ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371019",
            "telephone_number": "517-526-3787",
            "fax_number": "888-622-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMER",
        "first_name": "KRISTY",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014911",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.