Active NPI
Barbra Blake, LCSW
- Mental Health Counselor
- Ridgway, CO
National Provider Identifier
1497804876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 989008
- Practice address
- 227 Dallas CT
Ridgway, CO 81432 - Phone
- (970) 318-1441
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 989008 | CO | Primary |
Addresses
Primary practice location
227 Dallas CT
Ridgway, CO 81432
Mailing address
18829 6495 Rd
Montrose, CO 81403-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989008 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1497804876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18829 6495 RD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814036700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 DALLAS CT",
"city": "RIDGWAY",
"state": "CO",
"postal_code": "81432",
"telephone_number": "970-318-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "BARBRA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "989008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgway, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.