MEDICARE: KELSEY BLAHA LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	296604	KY

General Provider Information

NPI Number	:	1164232971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY BLAHA LPCC

Provider Business Mailing Address
First Line	:	PO BOX 3932
Second Line	:
City	:	WEST SOMERSET
State	:	KY
Zip	:	42564-3932
Country	:	US
Telephone Number	:	606-401-2966
Fax Number	:	606-244-4111

Provider Business Practice Location Address
First Line	:	600 MONTICELLO ST STE 2
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501-2974
Country	:	US
Telephone Number	:	606-383-1948
Fax Number	:	606-244-4111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	05/05/2026

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Directions to “ KELSEY BLAHA LPCC” Practice Location

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