MR. COREY BLASSINGALE – Mental Health Counselor, NPI 1255977450

MR. COREY BLASSINGALE is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. PC-0000942 (DE). The NPI Number for MR. COREY BLASSINGALE is 1255977450

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. COREY BLASSINGALE
NPI
1255977450
Phone
(215) 880-2949
Address
2312 N 17TH ST
Enumeration Date
22 November 2019
Last Update Date
22 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3024789411
Graduation Year
2019 (7 years ago)
PAC ID
6103276027
Group Practice PAC ID
4082643739
Professional Enrollment ID
I20231219000705
Address ID
DE198031548WI99XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

227 MENTAL HEALTH COUNSELOR in DE

Provider Addresses for MR. COREY BLASSINGALE

  • 2312 N 17TH ST

    PHILADELPHIA, PA 191324405

    Phone: (215) 880-2949

    Type: Mailing

  • 99 PASSMORE DR

    WILMINGTON, DE 198031548

    Phone: (302) 478-9411

    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: 2023-12-19

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
I20231219000705IMental Health CounselorDETBD

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 19132)

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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: 4082643739View full group profile
NameSpecialtyState
Clinical PsychologistDE
Internal Medicine, Geriatric MedicineDE
Clinical Social WorkerDE
Clinical Social WorkerDE
Mental Health CounselorDE
-DE
Clinical Social WorkerNY
Clinical Social WorkerDE
-DE
Clinical Social WorkerDE

Reviews

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Frequently asked questions

What is the registry number for MR. COREY BLASSINGALE?
The registry entry for MR. COREY BLASSINGALE shows NPI 1255977450.
Is MR. COREY BLASSINGALE's NPI status active today?
Active status means MR. COREY BLASSINGALE's NPI record is not deactivated in the public file.
What services align with MR. COREY BLASSINGALE's listing?
MR. COREY BLASSINGALE's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MR. COREY BLASSINGALE tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, MR. COREY BLASSINGALE may be relevant to your search.
Who maintains MR. COREY BLASSINGALE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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