Molly Blake

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

1255 W 15TH St Ste 1025
Plano, TX 75075-7253

Phone

(972) 673-0404

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Choice Childrens Homecare LP

  • Home Health Agency
  • Stafford, TX
  • NPI 1487634739
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1801465596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CARLISLE ST APT 511",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST STE 1025",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757253",
            "telephone_number": "972-673-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Blackwell
• Alexandra Danielle Blaeser, P.A-C
• Alahna Blair
• Deshanda Blair
• Margaret Blair
• Tristen Blake, DC
• Tommy L Blakeman, M.S.
• Heather L Blasingame, LCDC
• Melanie Ann Blass, LPC
• Brian T Blatt, DO

• Pastoral Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Pastoral Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.