TIMOTHY CARL BLAKE NPI 1003044066

Counselor in Winston Salem, NC

NPI 1003044066 Individual Male Counselor

About TIMOTHY BLAKE

Timothy Blake is a provider established in Winston Salem, North Carolina and his medical specialization is counselor. The NPI number of Timothy Blake is 1003044066 and was assigned on June 2009. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 12 years ago.

Timothy Blake is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003044066

Provider Name TIMOTHY CARL BLAKE
Provider Location Address725 HIGHLAND AVE WINSTON SALEM, NC 27101
Provider Mailing Address284 EXECUTIVE PARK DR SUITE 100 CONCORD, NC 28025
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-29-2009
Last Update Date06-29-2009


Primary Taxonomy

Taxonomy Code101Y00000X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA 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.

Business Address

TIMOTHY CARL BLAKE
725 HIGHLAND AVE
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 607-8523

Get Directions


Mailing Address

TIMOTHY CARL BLAKE
284 EXECUTIVE PARK DR
SUITE 100
CONCORD, NC
ZIP 28025
Phone:



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700818432 GREGORY LEWIS LCSW
Individual
Social Worker (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1285667196 AMBER FULCHER
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1851316608 LESLIE GERARD
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1700801495 SARA KENNEDY
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1770508467 DAVID MCLEAN
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1295755270 GAYE MIZE
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1831205400MRS. AMANDA KATHERINE VAN EMBURGH PSYD
Individual
Psychologist (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1518056019 KAREN OLSON
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1740379288 KERRY MACLEOD
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1669534913DR. MERCEDES MEZA DERIVERS M.D.
Individual
Psychiatry & Neurology (Psychiatry)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1003971821 EARLENE BOHANNON RN
Individual
Registered Nurse725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 768-7200
1053461194 ANN TROXLER JOYNER RN
Individual
Registered Nurse725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1669523668 CHARLES LEE TRULL LCSW
Individual
Social Worker (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1962556308MS. ELIZABETH ANNE STEVENS LPC
Individual
Counselor (Professional)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1336271519 JAIRO OMAR FERNANDEZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1174645816DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1427170174DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1245353762DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1265637219 TERESA ANN KIVETT
Individual
Counselor725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1891991212DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.