Active NPIIndividual providerSole proprietor

Elizabeth J Blake, MED, LMHC, CAGS

Counselor, Mental Health in Winthrop, Massachusetts

NPI Number1114109006
Practice location
5 Tileston RD, Winthrop, MA 02152-2734
Fax
—
Last updated
October 27, 2026

Elizabeth Jennifer Blake is a Counselor, Mental Health based in Winthrop, MA. Elizabeth Jennifer Blake practices in Winthrop, MA and has the professional credentials of MED, LMHC, CAGS. The NPI Number for Elizabeth Jennifer Blake is 1114109006 and holds a License No. 10222 (MA). The current practice location address for Elizabeth Jennifer Blake is 5 Tileston RD, Winthrop, MA 02152-2734 and can be reached out via phone at 617-240-5907.

Provider Profile Details

NPI Number
1114109006
Provider Name
Elizabeth Jennifer Blake
Credential
MED, LMHC, CAGS
Provider Entity Type
Individual
Gender
Female
Address
5 Tileston RD, Winthrop, MA 02152-2734
Phone Number
617-240-5907
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Elizabeth Jennifer Blake-Delvecchio, LMHC (Professional Name)
Provider Enumeration Date
December 3, 2007
Last Update Date
October 27, 2026
Certification Date
October 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Tileston RD
Winthrop, MA 02152-2734
Zip
02152-2734
Phone Number
617-240-5907
Winthrop, MA 02152Get directions →

Provider Business Mailing Address Details

Address
5 Tileston RD
Winthrop, MA 02152-2734
City
Winthrop
State
MA
Zip
02152-2734
Phone Number
617-240-5907

License Information

License Number
10222
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth J Blake, MED, LMHC, CAGS?

The NPI number of Elizabeth J Blake, MED, LMHC, CAGS is 1114109006. It was assigned on December 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Elizabeth J Blake, MED, LMHC, CAGS?

Elizabeth J Blake, MED, LMHC, CAGS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10222.

Where does Elizabeth J Blake, MED, LMHC, CAGS practice?

The practice location is 5 Tileston RD, Winthrop, MA 02152-2734. The office can be reached at 617-240-5907 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114109006 directly on the NPPES registry website.

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