Blick Clinic, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3005 Issued in OH

Legal business name

BLICK CLINIC, INC.

Practice address

274 White Pond Dr
Akron, OH 44320-1118

Phone

(330) 762-5425

Fax

(330) 762-4019

NPI assigned

Jun 8, 2006

Organization subpart

Yes

Parent organization

BLICK CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Jan N Phillips

Title

Billing MGR

Phone

(330) 762-5425

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Blick Clinic, Inc.

  • Homemaker
  • Akron, OH
  • NPI 1649870551

  O20040218000406

  Same enrollment
• Blick Clinic, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1861022550

  O20040218000406

  Same enrollment
• Blick Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
  • NPI 1952371403

  O20040218000406

  Same enrollment

Tax ID family

Blick Clinic Inc4 organizations share this tax ID, including this one

Part of

Blick Clinic Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Blick Clinic, Inc.

  • Homemaker
  • Akron, OH
  • NPI 1649870551
  NPD tax ID
• Blick Clinic, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1861022550
  NPD tax ID
• Blick Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
  • NPI 1952371403
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean M Adams, LPCC

  • Professional Counselor
  • Akron, OH
  • NPI 1821408071
  NPD
• Alexandra Brescilli, LSW

  • Clinical Social Worker
  • Akron, OH
  • NPI 1457966400
  NPD
• Rebecca Dempster, LPCC

  • Professional Counselor
  • Akron, OH
  • NPI 1265646442
  NPD
• Martina Jones, LISW

  • Clinical Social Worker
  • Akron, OH
  • NPI 1700300753

  Mental Health

  NPD
• Shelley Marie King, LISW

  • Social Worker
  • Akron, OH
  • NPI 1619356821
  NPD
• Deborah Ann Smith, LISW-S

  • Clinical Social Worker
  • Lima, OH
  • NPI 1821133919
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1801837430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201118",
            "telephone_number": "330-762-5425",
            "fax_number": "330-762-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201118",
            "telephone_number": "330-762-5425",
            "fax_number": "330-762-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLICK CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLICK CLINIC, INC.",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "330-762-5425"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Bleigh, ACCNS-AG
• Blessed Residential LLC
• Lucy Blevins
• Patricia Rae Blevins
• Blick Clinic, Inc.
• Blick Clinic, Inc.
• Blick Clinic, Inc.
• Zoe Blincow, M.A., CCC-SLP
• John Blinka, M.D.
• Elyse N Bloch, L.I.S.W.-S

• Mental Health Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.