Janelle Herma Blake

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

635 Issued in CO

Practice address

7290 Samuel Dr
Suite 110
Denver, CO 80221-2743

Phone

(303) 487-7776

Fax

(303) 487-7868

NPI assigned

Aug 29, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Janelle Herma Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1043644891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 SAMUEL DR",
            "address_2": "SUITE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212743",
            "telephone_number": "303-487-7776",
            "fax_number": "303-487-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 SAMUEL DR",
            "address_2": "SUITE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212743",
            "telephone_number": "303-487-7776",
            "fax_number": "303-487-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JANELLE",
        "middle_name": "HERMA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "YOUNG",
            "middle_name": "HERMA",
            "prefix": "MISS",
            "credential": "C.A.C. III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Matthew Blair
• Kierra Blair
• Kristin Elizabeth Blair, RDH
• Vicki Blair, RN
• Courtney L Blake, LPN
• Joseph Alexander Blake
• Mallaree Blake, PSYD
• James Blakes
• Kathleen Blakey
• John Michael Blalock

• Addiction (Substance Use Disorder) Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.