Blake W Jonas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3TP15-018 Issued in NJ

Practice address

550 Kinderkamack Rd Ste 108
Oradell, NJ 07649-1500

Phone

(201) 523-4113

NPI assigned

Oct 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Legend Psych LLC

  • Adult Mental Health Clinic/Center
  • Oradell, NJ
  • NPI 1114519360
  NPD Authorized official
• Baker Street Behavioral Health

  • Clinical Psychologist
  • Franklin Lakes, NJ
  • NPI 1659841096
  NPD (past)
• Inspire Wellness

  • Clinical Neuropsychologist
  • Glen Rock, NJ
  • NPI 1770064289
  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1891165700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PROSPECT AVE APT 1",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461764",
            "telephone_number": "201-523-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD STE 108",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "201-523-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS",
        "first_name": "BLAKE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "3TP15-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae H. Myung, D.D.S., P.C.
• James W. Geuder, M.D. LLC
• Robert David Jenkins, LCSW
• Joe Armentano LLC
• John McDonald LCSW LLC
• Catherine Mary Jones, CNM
• Joseph K Hyon DO PA
• Judy Schmutter DDS PA
• Julia Feuer Health P.C.
• Valerie A Kaefer, PA-C

• Marriage & Family Therapist in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.