Individual provider Active NPI

Kara Helena Blake, M.S.S.W

  • Counselor
  • West Yarmouth, MA
National Provider Identifier
1982916904
Registry record updated Nov 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Phone
(774) 470-2298
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582

Mailing address

26 Pondview Ave
West Yarmouth, MA 02673-3218
Phone (508) 360-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20231121002823 MA Practitioner - Clinical Social Worker 8123476694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Community Care Inc 117 clinicians

Practice addresses (Care Compare)

190 Lenox St
Norwood, MA 02062-3416
Phone (781) 769-8670

6 Kimball LN
Lynnfield, MA 01940-2682
Phone (781) 246-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

6 Kimball Ln
Ste 310
Lynnfield, MA 01940
Phone 7812462010 ext. 2086

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414886400000",
    "number": "1982916904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PONDVIEW AVE",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733218",
            "telephone_number": "508-360-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSEL HALLET RD",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732582",
            "telephone_number": "774-470-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "KARA",
        "middle_name": "HELENA",
        "name_prefix": "Ms.",
        "credential": "M.S.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2014-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.