LANCE BLAKE
NPI 1053002451
Counselor - Mental Health in West Covina, CA

Active since May 17, 2023
4141 S NOGALES ST UNIT A104, WEST COVINA, CA 91792(833) 831-8946 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lance Blake NPPES

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

LANCE BLAKE (NPI 1053002451) is an individual mental health provider in West Covina, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1053002451
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLANCE BLAKE
Location Address4141 S NOGALES ST UNIT A104West Covina, CA 91792-3057
Mailing Address2218 Camarina DrRowland Heights, CA 91748-3709 · (626) 999-6242
Sole ProprietorYes
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
NPI 1053002451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4141 S NOGALES ST UNIT A104, West Covina, CA 91792

Other Providers at the Same Location NPPES 19

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

Behavior Analyst
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792
Behavior Technician
4141 S NOGALES ST UNIT A104
WEST COVINA, CA 91792

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 Lance Blake's NPI number?

The NPI number for Lance Blake is 1053002451. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Lance Blake located?

Lance Blake practices at 4141 S Nogales St Unit A104, West Covina, CA 91792. The listed phone number is (833) 831-8946.

What is Lance Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lance Blake was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.