Jill Blake
Individual provider Active NPI Mental Health Counselor · Oberlin, OH
NPI 1821808445 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1821808445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C.2406026 (OH)
- Practice address
- 29 Morgan St
Oberlin, OH 44074-1535 - Phone
- (440) 707-6228
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406026 | OH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2406026 | OH | Yes |
Addresses
Primary practice location
29 Morgan St
Oberlin, OH 44074-1535
Mailing address
29 Morgan St
Oberlin, OH 44074-1535
Phone (440) 707-6228
Other providers in Oberlin, OH
- Brenda Sue Beursken
- Hannah Kathleen Bieri
- Anna M Biskup
- Thomas Biskup
- Matthew Blackford
- Madison Bluemel
- Bowyer Audiology
- Joshua Bowyer
- Diane Britt
- Jeffery Johnson Buckley
All providers in Oberlin, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.