EASTER SEALS BLAKE FOUNDATION
NPI 1053828160
Community/Behavioral Health in Thatcher, AZ
About Easter Seals Blake Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTER SEALS BLAKE FOUNDATION (NPI 1053828160) is a healthcare organization registered as a community/behavioral health in Thatcher, Arizona and active in the NPI registry since January 2018. The organization lists Marissa S Arendt, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Easter Seals Blake Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Easter Seals Blake Foundation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 41Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Easter Seals Blake Foundation's NPI number?
The NPI number for Easter Seals Blake Foundation is 1053828160. It was assigned to this organization in the NPPES registry on January 10, 2018.
Where is Easter Seals Blake Foundation located?
Easter Seals Blake Foundation is located at 709 N Allred Ln Ste 106, Thatcher, AZ 85552. The listed phone number is (520) 327-1529.
What is Easter Seals Blake Foundation's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Easter Seals Blake Foundation enrolled in Medicare?
Yes. Easter Seals Blake Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Easter Seals Blake Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 5 Medicare specialties reassign their Medicare billing to Easter Seals Blake Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (17), Clinical Social Worker (10) and Nurse Practitioner (7). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Easter Seals Blake Foundation accept?
Health plans from Ambetter from Arizona Complete Health list Easter Seals Blake Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Easter Seals Blake Foundation was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Easter Seals Blake Foundation · NPI 1053828160
Community/Behavioral Health organization in Thatcher, Arizona. Organization record, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1053828160 (Entity type: Organization)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Marissa Arendt, CFO
## Practice location
- **Address:** 709 N ALLRED LN STE 106, Thatcher, AZ 85552-5561
- **Phone:** (520) 327-1529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (17), Clinical Social Worker (10), Nurse Practitioner (7); 1 practice at this address; [full list](https://npiprofile.com/npi/1053828160/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2026
- **Other identifiers:** Other OTC12998 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1053828160) · Data from the CMS NPPES public registry.