Sandra Blake, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3871 Spring St
Hot Springs, AR 71901-8606

Phone

(501) 623-3477

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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.

• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1518745173
  NPD (past)
• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1730963174
  NPD (past)
• Counseling Clinic, Inc

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1770361339
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1902052004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WHITTINGTON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013407",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SPRING ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018606",
            "telephone_number": "501-623-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SANDRA",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AR",
            "license": "057935310994E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwin Roberts Black, R.D.
• Aaron W Blackerby, CRNA
• Charles Neal Blacknall
• Terri Blackstock, M.D.
• Jessica Blade, LPN
• Tammey Blake
• Blayne Tipton DDS PA
• Alexandra Blevins-Wykes
• Ashley Lauren Blockburger, PT, DPT
• Yvonne Elizabeth Blumhoefer, PA-C

• Case Manager/Care Coordinator in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.