Brenda G Blake, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0002604 Issued in OH

Practice address

975 Bethesda Dr
Zanesville, OH 43701-7500

Phone

(740) 452-4539

Fax

(740) 452-5702

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Encompass Care, Inc.

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1912412768
  Medicare reassignment NPD
• Encompass Care, Inc.

  • Community/Behavioral Health Agency
  • Fairview, PA
  • NPI 1508537721
  NPD
• Ohio Psychiatric Associates, Inc

  • Psychiatry Physician
  • Zanesville, OH
  • NPI 1144398884
  NPD (past)
• Primecare of Southeastern Ohio, Inc.

  • Family Medicine Physician
  • Zanesville, OH
  • NPI 1417932294
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932274750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017500",
            "telephone_number": "740-452-4539",
            "fax_number": "740-452-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017500",
            "telephone_number": "740-452-4539",
            "fax_number": "740-452-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "BRENDA",
        "middle_name": "G",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Bisutti, MD
• Bryan Bjornstad, MD
• Amy Caroline Blackford
• Catherine Sue Blair, CNP
• Keely Blair
• Megan M Blake, MSW,LSW
• Whitney Blake
• Makenna Blatt, RN
• Tiffany Lynne Blaz, RN, MSN, FNP-C
• Yassaman Dorosti Bleiweiss, DDS

• Mental Health Counselor in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Mental Health Counselor in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.