DR. TESSIE BLAKE PSY.D., L.P.
NPI 1104183326
Psychologist in Detroit Lakes, MN
About Dr. Tessie Blake Psy.d., L.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TESSIE BLAKE PSY.D., L.P. (NPI 1104183326) is an individual psychologist in Detroit Lakes, Minnesota and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tessie Blake Psy.d., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tessie Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moorhead, MN 56560
- Reassigned Medicare billing, Minnesota enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Tessie Blake's NPI number?
The NPI number for Tessie Blake is 1104183326. It was assigned to this individual provider in the NPPES registry on April 12, 2012.
Where is Tessie Blake located?
Tessie Blake practices at 1104 W River Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 844-6853.
What is Tessie Blake's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tessie Blake enrolled in Medicare?
Yes. Tessie Blake is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tessie Blake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tessie Blake reassigns Medicare benefits to Solutions Behavioral Healthcare Professionals, PC (Moorhead, MN). The 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 Tessie Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tessie Blake accept?
Health plans from HealthPartners and Sanford Health Plan list Tessie Blake 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 Tessie Blake was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.