Blake Suzelis Holistic Counselors, LLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLAKE SUZELIS HOLISTIC COUNSELORS, LLP

Practice address

330 King St Ste 5
Wenatchee, WA 98801-2857

Phone

(509) 881-4059

Fax

(833) 879-7547

NPI assigned

Nov 26, 2020

Last updated

Nov 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake Suzelis, LMHCNPI 1265781579

Title

Owner

Phone

(509) 879-9069

Specialties & licenses 4

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Suzelis, LMHC

  • Mental Health Counselor
  • Wenatchee, WA
  • NPI 1265781579
  NPD Authorized official

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606348800000",
    "number": "1538763818",
    "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": "509-879-9069",
            "fax_number": "833-879-7547"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "BLAKE SUZELIS HOLISTIC COUNSELORS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A",
        "authorized_official_last_name": "SUZELIS",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-879-9069",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blake.suzelis@helpforsuicide.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 King St Ste 5",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988012857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Black Diamond Sports Therapy, LLC
• Judy Black-Schmidt, ARNP
• Sunshine Blagg
• Dale Frank Blair, MS, ATC, CSCS
• Kendall Marlowe Blair, DO
• Amanda Jane Blalock, RN
• Jennifer Elaine Blanchard, ARNP
• Alexis Bland, PAC
• Amanda Blankenship
• Beth Loraine Blankenship, PA-C

• 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 Nov 26, 2020; 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.