Kathy Blackmer, LPC, CADC is a
Counselor - Mental Health based in Poplar Grove, Illinois. Kathy Blackmer is licensed to practice in Illinois (license number 178.008536) and her current practice location is
13508 Julie Dr, Poplar Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 245-6669.
NPI number for Kathy Blackmer is 1700207768 and her current mailing address is Po Box 1861, Woodstock, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700207768.
Healthcare Provider's Profile
Full Name | Kathy Blackmer |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 13508 Julie Dr, Poplar Grove, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700207768
- Provider Enumeration Date: 12/18/2013
- Last Update Date: 05/01/2018
Medical Identifiers
Medical identifiers for Kathy Blackmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700207768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 178.008536 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy Blackmer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathy Blackmer, LPC, CADC Po Box 1861, Woodstock, IL 60098 Ph: (815) 245-6669 | Kathy Blackmer, LPC, CADC 13508 Julie Dr, Poplar Grove, IL 61065 Ph: (815) 245-6669 |
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