Blake Giovanni Soulet, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023525 Issued in MI

Practice address

6960 Orchard Lake Rd Ste 202
West Bloomfield, MI 48322-4519

Phone

(248) 985-9942

Fax

(248) 221-1775

NPI assigned

Feb 19, 2024

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellie Mental Health Live Authentic PLLC

  dba Ellie Mental Health

  • Counseling Psychologist
  • Novi, MI
  • NPI 1760193031
  Medicare reassignment NPD
• Fulfilling Life's Yearnings Mental Health Center, PLLC

  • Mental Health Counselor
  • West Bloomfield, MI
  • NPI 1851194245
  Authorized official Same address or phone

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1265297378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 BENTLEY RD APT 106",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222189",
            "telephone_number": "248-736-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD STE 202",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224519",
            "telephone_number": "248-985-9942",
            "fax_number": "248-221-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULET",
        "first_name": "BLAKE",
        "middle_name": "GIOVANNI",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio M Sosa, MD
• Jenna Sosh, MA, LPC, NCC, CTP, D
• Hilda Sosnovskaya
• Jason Sosnowski, PT
• Soul Works Therapy and Wellness
• Southeast Michigan Surgery PLLC
• Audriana Spadaro, PT
• Sparr Nutrition Services LLC
• Julie Spears
• Specialists in Pediatric Neurology PLLC

• Mental Health Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.