- 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 K Blake, MA is a Counselor based in Eugene, OR. Jennifer K Blake, MA holds the professional credentials of MA. The NPI number for Jennifer K Blake, MA is 1972620110 and holds license No. C5663 (OR). The current practice location address is 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 and the office can be reached by phone at 541-210-8090 and by fax at 541-210-5310. The NPI was assigned on March 23, 2007 and the record was last updated in NPPES on May 28, 2020.
●Provider Profile Details
- NPI Number
- 1972620110
- Provider Name
- Jennifer Kay Blake
- Credential
- MA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Enumeration Date
- March 23, 2007
- Last Update Date
- May 28, 2020
- Certification Date
- May 28, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 150 Shelton Mcmurphey Blvd Ste 101
Eugene, OR 97401-5015 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-5015
- Country
- US
- Phone Number
- 541-210-8090
- Fax Number
- 541-210-5310
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | No | C5663 | OR |
| Counselor | 101Y00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Eugene, OR
View all providers 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) and holds license No. C5663 (OR).
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 at npiregistry.cms.hhs.gov.