Individual provider Active NPI

Cynthia Blake, LPC

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1821337247
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
67183 Issued in TX
Practice address
7362 Remcon Cir
El Paso, TX 79912-1623
Phone
(915) 777-2979
Fax
(888) 974-1081
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 67183 TX Primary

Addresses

Primary practice location

7362 Remcon Cir
El Paso, TX 79912-1623

Mailing address

7362 Remcon Cir
El Paso, TX 79912-1623
Phone (915) 777-2979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702002587 TX Practitioner - Mental Health Counselor 9739623695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7362 Remcon Cir
El Paso, TX 79912-1623
Phone (915) 777-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67183TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia Blake, Ma, LPC, NCC PLLC Mental Health CurrentSince Apr 29, 2024 Accepting new patients

Locations

105 E Castellano Dr
Ste C
El Paso, TX 79912
Phone (915) 261-4060

7362 Remcon Cir
El Paso, TX 79912
Phone (915) 777-2979

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1821337247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121623",
            "telephone_number": "915-777-2979",
            "fax_number": "888-974-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121623",
            "telephone_number": "915-777-2979",
            "fax_number": "888-974-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CYNTHIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.