Kay Elizabeth Blankenship
Individual provider Active NPI Mental Health Counselor · Washington, IL
NPI 1750857744 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1750857744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 180.010800 (IL)
- Practice address
- 100 Hillcrest Dr Ste E
Washington, IL 61571-2227 - Phone
- (309) 444-2800
- Fax
- (309) 444-2866
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Balanced
Practice addresses (Care Compare)
100 Hillcrest Dr
Suite C
Washington, IL 61571-2227
Phone (309) 444-2800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401000137 | IL | Practitioner - Mental Health Counselor | 6103274741 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010800 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced | Current |
Accepting new patients |
Locations
100 Hillcrest Dr
Ste C
Washington, IL 61571
Phone (309) 444-2800
100 Hillcrest Dr
Ste E
Washington, IL 61571
Phone (248) 515-4735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.010800 | IL | Yes |
Addresses
Primary practice location
100 Hillcrest Dr Ste E
Washington, IL 61571-2227
Mailing address
590 County Road 1625 E
Congerville, IL 61729-9520
Phone (219) 869-9698
Other providers in Washington, IL
- Brian D. Bahr
- Scott Allyn Baird
- Jennifer N Beard
- Carleen Marie Biscontine
- Anna Blank
- Melissa Blaum
- Allison McKenzie Boehs
- Charles K. Boley
- Kaitlyn Bone
- Bryanna R Bray
All providers in Washington, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.