Active NPI
Gail Joan Blakely, LADC 1
- Addiction (Substance Use Disorder) Counselor
- Plymouth, MA
National Provider Identifier
1871652818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1008
- Practice address
- 50 Aldrin Rd
Plymouth, MA 02360 - Phone
- (508) 830-0004
- Fax
- (508) 830-0295
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1008 | MA | Primary |
Addresses
Primary practice location
50 Aldrin Rd
Plymouth, MA 02360
Mailing address
PO B 3163
Waquiot, MA 02536
Phone (508) 548-1349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008 | Other | MA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871652818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO B 3163",
"city": "WAQUIOT",
"state": "MA",
"postal_code": "02536",
"telephone_number": "508-548-1349",
"fax_number": "508-548-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALDRIN RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "02360",
"telephone_number": "508-830-0004",
"fax_number": "508-830-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELY",
"first_name": "GAIL",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "LADC 1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1008",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.