Active NPI
Blake Workman, MS LPCC, LCPC
- Professional Counselor
- Centerville, OH
National Provider Identifier
1124305305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0900092
- Practice address
- 7026 Corporate Way
Ste 116
Centerville, OH 45459-4288 - Phone
- (937) 554-9569
- NPI assigned
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4235 | MD | |
| Professional Counselor | 101YP2500X | E.0900092 | OH | Primary |
Addresses
Primary practice location
7026 Corporate Way
Ste 116
Centerville, OH 45459-4288
Mailing address
7026 Corporate Way
Ste 116
Centerville, OH 45459-4288
Phone (937) 554-9569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4235 | MD | MD | Professional Counselor |
| E.0900092 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1124305305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7026 CORPORATE WAY",
"address_2": "STE 116",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594288",
"telephone_number": "937-554-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7026 CORPORATE WAY",
"address_2": "STE 116",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594288",
"telephone_number": "937-554-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN",
"first_name": "BLAKE",
"name_prefix": "Mr.",
"credential": "MS LPCC, LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4235",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0900092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.