Blake Jordan Anderson, LCMHC-A
Individual provider Active NPI Mental Health Counselor · Denver, NC
NPI 1184558009 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1184558009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A22774 (NC)
- Practice address
- 6139 Grand Hill LN
Denver, NC 28037-9664 - Phone
- (980) 241-8846
- NPI assigned
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A22774 | NC | Yes |
Addresses
Primary practice location
6139 Grand Hill LN
Denver, NC 28037-9664
Mailing address
6139 Grand Hill LN
Denver, NC 28037-9664
Phone (980) 241-8846
Other providers in Denver, NC
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- Crystal Alba Storie
- Julia Nell Alexander
- Mandy Alexander
- Anchors Aplay
- Shonya Anderson
- Ashley M Collins DDS PA
- John Michael Assell
- Atkinson Family Chiropractic, PLLC
- Devin P Atkinson
All providers in Denver, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.