Kenneth M Bleicher
Individual provider Active NPI Mental Health Counselor · Fort Valley, GA
NPI 1821671868 · NPPES record last updated Apr 28, 2021
Key facts
- NPI
- 1821671868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 007798 (GA)
- Practice address
- 1809 River Rd
Fort Valley, GA 31030-7029 - Phone
- (478) 827-3224
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Peach Pit | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007798 | GA | Yes |
Addresses
Primary practice location
1809 River Rd
Fort Valley, GA 31030-7029
Mailing address
1809 River Rd
Fort Valley, GA 31030-7029
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://thepeachpitgeorgia.org/ |
Other providers in Fort Valley, GA
- Shantaviuis Senise Banks
- Donna D Bellamy
- Bio-Medical Applications of Georgia, Inc.
- Rose C Birmingham
- Danielle Bivens
- Jennifer Bowens
- Brentwood Nursing LLC
- Amy Diane Brigman
- Brown Family Practice, LLC
- Crystal Lynn Brown
All providers in Fort Valley, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.