Kristy Eleanor Blalock, LCPC, NCC in Pasadena, MD

Kristy Eleanor Blalock, LCPC, NCC is a medicare enrolled "Counselor - Professional" provider in Pasadena, Maryland. Her current practice location is 8028 Ritchie Hwy, Suite 308, Pasadena, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 761-0725.

Kristy Eleanor Blalock is licensed to practice in Maryland (license number 12860) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922360247.

Contact Information

	Kristy Eleanor Blalock, LCPC, NCC
	8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075
	(410) 761-0725
	(410) 761-2412

Map and Direction

Healthcare Provider's Profile

Full Name	Kristy Eleanor Blalock
Gender	Female
Speciality	Counselor - Professional
Location	8028 Ritchie Hwy, Pasadena, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922360247
Provider Enumeration Date: 06/12/2012
Last Update Date: 07/21/2014

Medicare PECOS Information:

PECOS PAC ID: 9537678719
Enrollment ID: I20250530000482

Medical Identifiers

Medical identifiers for Kristy Eleanor Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922360247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	12860 (Maryland)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	12860 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	12860 (Maryland)	Secondary
101YP2500X	Counselor - Professional	12860 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristy Eleanor Blalock allows following entities to bill medicare on her behalf.

Entity Name	Project Chesapeake, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134539208 PECOS PAC ID: 2769603034 Enrollment ID: O20141030000682

Entity Name	University Psychological Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841647617 PECOS PAC ID: 4789674094 Enrollment ID: O20230710002271

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. Kristy Eleanor Blalock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristy Eleanor Blalock, LCPC, NCC 8069 Green Orchard Rd, Apt 12, Glen Burnie, MD 21061-5115 Ph: (443) 223-2193	Kristy Eleanor Blalock, LCPC, NCC 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075 Ph: (410) 761-0725

Reviews and Comments

Counselor in Pasadena, MD

Ryan Weathers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8131 Ritchie Hwy Ste F, Pasadena, MD 21122 Phone: 410-777-3031
Emily Mahoney, Counselor Medicare: Medicare Enrolled Practice Location: 3100f Mountain Rd, Pasadena, MD 21122 Phone: 410-841-9647 Fax: 888-636-5301
Ms. Virginia Ricketts, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122 Phone: 410-761-0725 Fax: 410-761-2412
Bernadette M Joyce, MS.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 8131 Ritchie Hwy Ste G, Pasadena, MD 21122 Phone: 410-360-1169 Fax: 410-544-4928
Mrs. Luz Idanis Iglesias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Quiet Woods Ct, Pasadena, MD 21122 Phone: 443-942-3402
Ms. Carol Marie Asch, LCSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8028 Ritchie Hwy, Ste.310, Pasadena, MD 21122 Phone: 410-768-3361 Fax: 410-768-3362
Mrs. Desiree Patrina Schwemle, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100f Mountain Rd, Pasadena, MD 21122 Phone: 410-841-9647 Fax: 888-636-5301

Kristy Eleanor Blalock, LCPC, NCC - Medicare Counselor in Pasadena, MD