Michelle M Blakeley, MFT, CPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4154 Issued in NV

Practice address

522 E Lake Mead Pkwy Ste 2
Henderson, NV 89015-5573

Phone

(702) 907-8306

Fax

(702) 907-8306

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1396256665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 FIFE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890154648",
            "telephone_number": "702-907-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E LAKE MEAD PKWY STE 2",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155573",
            "telephone_number": "702-907-8306",
            "fax_number": "702-907-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELEY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MFT, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4154",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "5066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Black, LCSW
• Teresa Sanchez Black
• Angelique Blackburn
• David Blake
• Patrick Joseph Blake III, HIS
• Robin Blanc
• Harmony Blanchard-Eagle
• Arisa May Blanco
• Jessica L Blanco, LMSW, CSW-I
• Devan Bland

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.