- Practice location
- 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015
- Phone
- 541-210-8090
- Fax
- 541-210-5310
- Last updated
- May 28, 2020
Jennifer Kay Blake is a Counselor based in Eugene, OR. Jennifer Kay Blake practices in Eugene, OR and has the professional credentials of MA. The NPI Number for Jennifer Kay Blake is 1972620110 and holds a License No. C5663 (OR). The current practice location address for Jennifer Kay Blake is 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 and can be reached out via phone at 541-210-8090 and via fax at 541-210-5310.
Provider Profile Details
- NPI Number
- 1972620110
- Provider Name
- Jennifer Kay Blake
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015
- Phone Number
- 541-210-8090
- Fax Number
- 541-210-5310
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2007
- Last Update Date
- May 28, 2020
- Certification Date
- May 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Shelton Mcmurphey Blvd Ste 101
Eugene, OR 97401-5015 - City
- Eugene
- State
- Oregon
- Zip
- 97401-5015
- Phone Number
- 541-210-8090
- Fax Number
- 541-210-5310
Provider Business Mailing Address Details
- Address
- 3995 Marcola RD
Springfield, OR 97477-7948 - City
- Springfield
- State
- OR
- Zip
- 97477-7948
- Phone Number
- 541-726-1465
- Fax Number
- 541-726-5085
License Information
- License Number (1)
- C5663
- License State (1)
- OR
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Eugene, OR
View all Counselors in Eugene →Frequently Asked Questions
What is the NPI number of Jennifer K Blake, MA?
The NPI number of Jennifer K Blake, MA is 1972620110. It was assigned on March 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennifer K Blake, MA?
Jennifer K Blake, MA is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in OR under license number C5663.
Where does Jennifer K Blake, MA practice?
The practice location is 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015. The office can be reached at 541-210-8090 (phone) or 541-210-5310 (fax).
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 1972620110 directly on the NPPES registry website.