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TIMOTHY CARL BLAKE
NPI 1003044066
Counselor in Winston Salem, NC

Active since June 29, 2009
725 HIGHLAND AVE, WINSTON SALEM, NC 27101(336) 607-8523 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Carl Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY CARL BLAKE (NPI 1003044066) is an individual counselor in Winston Salem, North Carolina and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1003044066
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTIMOTHY CARL BLAKE
Location Address725 HIGHLAND AVEWinston Salem, NC 27101-4206
Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831
Phone(336) 607-8523
Sole ProprietorNo
Enumeration DateJune 29, 2009
✔ NPI 1003044066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
725 HIGHLAND AVE, Winston Salem, NC 27101
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EARLENE BOHANNON RN
Registered Nurse
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 768-7200
MR. ROGER W MERRITT BE, LPC
Counselor (Professional)
725 HIGHLAND AVE, 2ND FLOOR
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8501
JACQUELLINE PHILLIPS
Counselor
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
PAUL J. DECKER MED., M.A., LPC
Counselor (Mental Health)
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
ANN TROXLER JOYNER RN
Registered Nurse
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
SHAVONNA ANN ROBINSON LPN
Licensed Practical Nurse
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (866) 275-9552
DR. YASMIN EVETTE GAY PHD, LCAS,LPC, CRC,
Counselor (Addiction (Substance Use Disorder))
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 397-7500
ERIC DEWAN TUTTLE
Counselor
725 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Blake's NPI number?

The NPI number for Timothy Blake is 1003044066. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Timothy Blake located?

Timothy Blake practices at 725 Highland Ave, Winston Salem, NC 27101. The listed phone number is (336) 607-8523.

What is Timothy Blake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Timothy Blake was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.