Blake Harding

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.00015400 Issued in CO

Practice address

1424 11TH Ave Ste 400
Seattle, WA 98122-4271

Phone

(310) 427-1520

NPI assigned

Nov 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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.

• Dr Forrest Harding LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1669261939
  NPD

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1992218036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 11TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 11TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224271",
            "telephone_number": "310-427-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1942 Broadway Ste 314C",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025233",
            "country_code": "US",
            "telephone_number": "888-266-0596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 E Blacklidge Dr Apt 1025",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192702",
            "country_code": "US",
            "telephone_number": "310-427-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-11",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSYC.00015400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff C. Harder, MSW
• Allison Ramsey Hardesty, M.S., LMHC
• Kurt Hardesty, LMP
• Davinna Ann Hardiman
• Hailey Hardin, LMHCA
• James Alfred Harding, M.D.
• Kaitlin Amanda Harding, PH.D.
• Sarah Darrell Hardinge, BA, CPC, AAC
• Hyangja Hardisty, PA-C
• Patricia P. Hardman, ARNP

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.