MS. ELIZABETH ANNE BLAKE LPC
NPI 1053429290
Counselor - Mental Health in Greensboro, NC

Active since August 28, 2006
2711 PINEDALE RD STE A, GREENSBORO, NC 27408(336) 540-9400(336) 540-9454 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Elizabeth Anne Blake Lpc NPPES

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

MS. ELIZABETH ANNE BLAKE LPC (NPI 1053429290) is an individual mental health provider in Greensboro, North Carolina, licensed in North Carolina (2982) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053429290
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ELIZABETH ANNE BLAKECredential: LPC
Location Address2711 PINEDALE RD STE AGreensboro, NC 27408-4706
Mailing Address2711 Pinedale Rd Ste AGreensboro, NC 27408-4706 · (336) 540-9400 · Fax (336) 540-9454
Fax(336) 540-9454
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053429290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 2982
2711 PINEDALE RD STE A, Greensboro, NC 27408

Other Identifiers 1

Medicaid6102403NC

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
2711 PINEDALE RD STE A
GREENSBORO, NC 27408
Psychologist
2711 PINEDALE RD STE A
GREENSBORO, NC 27408
Psychologist (Clinical)
2711 PINEDALE RD STE A
GREENSBORO, NC 27408

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 Elizabeth Blake's NPI number?

The NPI number for Elizabeth Blake is 1053429290. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Elizabeth Blake located?

Elizabeth Blake practices at 2711 Pinedale Rd Ste A, Greensboro, NC 27408. The listed phone number is (336) 540-9400.

What is Elizabeth 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 Elizabeth Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.