Blake Suzelis, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60815437 Issued in WA

Practice address

330 King St Ste 5
Wenatchee, WA 98801-2857

Phone

(509) 881-4059

Fax

(833) 879-7547

NPI assigned

Aug 31, 2012

Last updated

Sep 21, 2019By 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 3

Addresses

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

• Blake Suzelis Holistic Counselors, LLP

  • Mental Health Counselor
  • Wenatchee, WA
  • NPI 1538763818
  NPD Authorized official

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1265781579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 ASPEN SHORES DR",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025870",
            "telephone_number": "330-307-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-881-4059",
            "fax_number": "833-879-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Eastmont Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988025306",
            "country_code": "US",
            "telephone_number": "509-885-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Monitor St",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013534",
            "country_code": "US",
            "telephone_number": "509-860-8200",
            "fax_number": "509-663-4640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUZELIS",
        "first_name": "BLAKE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60691506",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60815437",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1200592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.