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MS. KENNETH LEON BLAKE JR. BS
NPI 1093678864
Case Manager/Care Coordinator in Jacksonville, FL

Active since December 08, 2025
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254(904) 781-7797 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kenneth Leon Blake Jr. Bs NPPES

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

MS. KENNETH LEON BLAKE JR. BS (NPI 1093678864) is an individual case manager/care coordinator provider in Jacksonville, Florida and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1093678864
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMS. KENNETH LEON BLAKE JR.Credential: BS
Location Address2392 EDGEWOOD AVE NJacksonville, FL 32254-1725
Mailing Address2392 Edgewood Ave NJacksonville, FL 32254-1725
Phone(904) 781-7797
Sole ProprietorNo
Enumeration DateDecember 8, 2025
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1093678864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2392 EDGEWOOD AVE N, Jacksonville, FL 32254
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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.

CHRISTOPHER JOHN STOKES
Case Manager/Care Coordinator
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
REYLIUS THOMPSON JR.
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
SHADEAR BILLUPS
Case Manager/Care Coordinator
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
NORTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
CYNTHIA A BURKETT
Day Training/Habilitation Specialist
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MR. ANDREW WALTER GOETZMAN
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MARCIA TREMECE WILLIAMS
Case Management
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
DR. PAUL YARISH PH.D.
Social Worker
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797

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 Kenneth Blake's NPI number?

The NPI number for Kenneth Blake is 1093678864. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Kenneth Blake located?

Kenneth Blake practices at 2392 Edgewood Ave N, Jacksonville, FL 32254. The listed phone number is (904) 781-7797.

What is Kenneth Blake's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Blake was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.