Charletha Renee Blake

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

204 Muirs Chapel Rd Ste 136
Greensboro, NC 27410-6173

Phone

(336) 962-6200

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Embracing Me Counseling, PLLC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1619869740
  NPD (past)
• Top Priority Care Services, LLC.

  • Mental Health Counselor
  • Akron, OH
  • NPI 1306316831
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1821652827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MILL LN",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MUIRS CHAPEL RD STE 136",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106173",
            "telephone_number": "336-962-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Main St Ste 607",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443081228",
            "country_code": "US",
            "telephone_number": "330-400-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Providence Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063226",
            "country_code": "US",
            "telephone_number": "336-896-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CHARLETHA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020061",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackwell House Inc.
• Tommy Alan Blackwell, D.D.S.
• Blair Kahzan Center
• Wendy Sanders Blair, PA-C
• Brittany Ann Blake, PHARMD
• Elizabeth Anne Blake, LPC
• Natalie L Blake, MD
• Sandra L Blake, FNP
• Susan D Blake, LPC
• Jeffrey Galen Blanchard, RPH

• Behavior Technician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.