Paul J Vanblake, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL06900500 Issued in NJ

Practice address

718 Pearl St
Elizabeth, NJ 07202-3448

Phone

(818) 480-1192

NPI assigned

Oct 10, 2026

Last updated

Oct 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1154226140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 PEARL ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023448",
            "telephone_number": "818-480-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 PEARL ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023448",
            "telephone_number": "818-480-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBLAKE",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06900500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Care Group LLC
• University Medical Professionals LLC
• University Radiology at Trinitas, LLC
• Urban League of Union County, Inc. (Urban League of Union County)
• Edgardo C Vallejo, M.D.
• Raul Emilio Vasquez Duran, MD
• Teimouraz Vassilidze, M.D.
• Yeimi Vazquez, MS
• Jessica Velasquez-Julca
• Velixo DME

• Mental Health Counselor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.