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MANDI JO BLAKE
NPI 1023655933
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since December 10, 2019
102 S 11TH ST, SAN JOSE, CA 95112(408) 998-5191 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mandi Jo Blake NPPES

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

MANDI JO BLAKE (NPI 1023655933) is an individual addiction (substance use disorder) provider in San Jose, California and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1023655933
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMANDI JO BLAKE
Location Address102 S 11TH STSan Jose, CA 95112-2132
Mailing Address102 S 11th StSan Jose, CA 95112-2132
Phone(408) 998-5191
Sole ProprietorNo
Enumeration DateDecember 10, 2019
✔ NPI 1023655933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
102 S 11TH ST, San Jose, CA 95112
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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.

MR. ART ARMANDO VILLARREAL
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
MARCIE JOSEPHINE DANILUKE R138711040
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
ALVARO CADENA II
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
MS. KRYSTAN MARIE TOWNSEND
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
JUANITA RENEE FUENTES RADT1R1318020818
Case Manager/Care Coordinator
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
MS. AMES MARY THERESE SABELLANO
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191
JESSICA ELVERA GARCIA
Peer Specialist
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 561-0148
ROBERT BUCHANAN MUIR MBA
Counselor (Addiction (Substance Use Disorder))
102 S 11TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 998-5191

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 Mandi Blake's NPI number?

The NPI number for Mandi Blake is 1023655933. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Mandi Blake located?

Mandi Blake practices at 102 S 11th St, San Jose, CA 95112. The listed phone number is (408) 998-5191.

What is Mandi Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mandi Blake was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.