Gwen Blake Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GWEN BLAKE COUNSELING, LLC

Doing business as

Birch Tree Therapeutic Arts

Practice address

27 Center St
Clinton, NJ 08809-1340

Phone

(908) 892-0005

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By 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

Gwen Blake, LPC

Title

Owner/Psychotherapist

Phone

(908) 892-0005

Specialties & licenses 1

Addresses

Other names 1

• Birch Tree Therapeutic Arts Doing business as

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.

• Gwendolyn Blake, MA, ED.S., LPC

  • Mental Health Counselor
  • Clinton, NJ
  • NPI 1356868236

  Single Specialty

  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1770283152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GWEN BLAKE",
            "address_2": "285 HILLCREST DRIVE",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "08848",
            "telephone_number": "908-892-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CENTER ST",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091340",
            "telephone_number": "908-892-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN BLAKE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "908-892-0005",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Tree Therapeutic Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.