Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kecia Marie Blakely, MSPSY, LMHC

Individual provider Mental Health Counselor · NPI 1750602355

Kecia Marie Blakely, MSPSY, LMHC is a Mental Health Counselor in South Bend, Indiana. Qualified in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2010
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

52189 Scott St
South Bend, IN 46637-2952
Phone: (574) 208-3359
Fax: (866) 812-9889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 39004492A (IN)

Record details

NPI number1750602355
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPSY , LMHC
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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