KAY ELIZABETH BLANKENSHIP – Mental Health Counselor, NPI 1750857744

KAY ELIZABETH BLANKENSHIP is a healthcare provider. based in Congerville, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.010800 (IL). The NPI Number for KAY ELIZABETH BLANKENSHIP is 1750857744

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
KAY ELIZABETH BLANKENSHIP
NPI
1750857744
Phone
(219) 869-9698
Address
590 COUNTY ROAD 1625 E
Enumeration Date
17 October 2018
Last Update Date
17 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094442800
Graduation Year
1996 (30 years ago)
PAC ID
6103274741
Group Practice PAC ID
9830352020
Professional Enrollment ID
I20240401000137
Address ID
IL615712227WA100XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for KAY ELIZABETH BLANKENSHIP

  • 590 COUNTY ROAD 1625 E

    CONGERVILLE, IL 617299520

    Phone: (219) 869-9698

    Type: Mailing

  • Hillcrest Drive, Blue Springs Village, Washington County, Arkansas, United States

    WASHINGTON, IL 615712227

    Phone: (309) 444-2800

    Fax: (309) 444-2866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240401000137IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61729)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830352020View full group profile
NameSpecialtyState
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
-IL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is KAY ELIZABETH BLANKENSHIP's NPI number?
KAY ELIZABETH BLANKENSHIP's NPI is 1750857744 — the number used across U.S. healthcare to identify this provider.
Is KAY ELIZABETH BLANKENSHIP shown as active in public data?
Registry records indicate KAY ELIZABETH BLANKENSHIP maintains an active NPI.
What kind of doctor is KAY ELIZABETH BLANKENSHIP?
KAY ELIZABETH BLANKENSHIP is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is KAY ELIZABETH BLANKENSHIP registered?
Use Congerville, Illinois as the headline location for KAY ELIZABETH BLANKENSHIP here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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