NPI age
5 years
Enumerated 2020-06-24
● Active
Type 1 · Individual
Kelsey Lynne Blazicevich, LPC
Blazicevich is 1 of 17 counselor providers in Caldwell and 1 of 545 in Idaho.
Primary specialty
Counselor
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 545 active counselor providers in Idaho.
NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-06Enumerated in NPPES
2020
2026
Where they practice
Practice location
923 Grant St
Caldwell, ID 836054137
Mailing address
923 Grant St
Caldwell, ID 836054137
Specialties
-
Counselor PrimaryA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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