Kellie Blake
Counselor, Mental Health in Pembroke, Massachusetts
1720912223- Practice location
- 20 Winter St, Pembroke, MA 02359-4965
- Phone
- 781-312-1393
- Fax
- —
- Last updated
- June 10, 2026
Kellie Blake is a Counselor, Mental Health based in Pembroke, MA. Kellie Blake practices in Pembroke, MA. The NPI Number for Kellie Blake is 1720912223. The current practice location address for Kellie Blake is 20 Winter St, Pembroke, MA 02359-4965 and can be reached out via phone at 781-312-1393.
Provider Profile Details
- NPI Number
- 1720912223
- Provider Name
- Kellie Blake
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Winter St, Pembroke, MA 02359-4965
- Phone Number
- 781-312-1393
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2026
- Last Update Date
- June 10, 2026
- Certification Date
- June 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Winter St
Pembroke, MA 02359-4965 - City
- Pembroke
- State
- Massachusetts
- Zip
- 02359-4965
- Phone Number
- 781-312-1393
Provider Business Mailing Address Details
- Address
- 17 Baker St
Halifax, MA 02338-1120 - City
- Halifax
- State
- MA
- Zip
- 02338-1120
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Pembroke, MA
View all Counselor, Mental Health providers in Pembroke →- Amber R WalshCounselor, Mental Health · NPI 1063129724
- Andrea D MottCounselor, Mental Health · NPI 1447804554
- Barbara Moeller, LICSWCounselor, Mental Health · NPI 1548800667
- Blackbird CounselingCounselor, Mental Health · NPI 1235746546
- Connor Stahl-Bryant, LMHCCounselor, Mental Health · NPI 1922674415
- Dawn Moore, LMHCCounselor, Mental Health · NPI 1053722801
Frequently Asked Questions
What is the NPI number of Kellie Blake?
The NPI number of Kellie Blake is 1720912223. It was assigned on June 10, 2026 and is currently active in the NPPES registry.
What is the specialty of Kellie Blake?
Kellie Blake is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Kellie Blake practice?
The practice location is 20 Winter St, Pembroke, MA 02359-4965. The office can be reached at 781-312-1393 (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 1720912223 directly on the NPPES registry website.