Blake Eynon

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG61366484 Issued in WA

Practice address

5610 Kitsap Way Ste 320
Bremerton, WA 98312-2266

Phone

(360) 792-2020

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blake Bynum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Bremerton, WA
  • NPI 1427580646
  NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1154045003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 KITSAP WAY STE 320",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122266",
            "telephone_number": "360-792-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 KITSAP WAY STE 320",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122266",
            "telephone_number": "360-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYNON",
        "first_name": "BLAKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61366484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "BYNUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evergreenhealth and Rehab
• Diana Everist Cox
• Rachelle Evinsky
• Jeremy R Ewing, RN
• John Eyler
• Lavonne Rae Fachner, MA
• Kristen C. Fahnoe, RD
• Donna M Faist, RN
• Kevin Anthony Fajardo, MD, MPH, MTMH
• Sierra Fallin

• Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.