DR. TESSIE BLAKE PSY.D., L.P.
NPI 1104183326
Psychologist in Detroit Lakes, MN

Active since April 12, 2012PECOS Enrolled
1104 W RIVER RD, DETROIT LAKES, MN 56501(218) 844-6853 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1104183326
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TESSIE BLAKECredential: PSY.D., L.P.
Location Address1104 W RIVER RDDetroit Lakes, MN 56501-2723
Mailing Address1104 W River RdDetroit Lakes, MN 56501-2723 · (218) 844-6853
Sole ProprietorNo
Enumeration DateApril 12, 2012
Last NPPES UpdateFebruary 22, 2016
NPI 1104183326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1104 W RIVER RD, Detroit Lakes, MN 56501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Behavior Technician
1104 W RIVER RD
DETROIT LAKES, MN 56501
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Social Worker (Clinical)
1104 W RIVER RD
DETROIT LAKES, MN 56501
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501
Specialist
1104 W RIVER RD
DETROIT LAKES, MN 56501

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.

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 with the weekly NPPES data releases published by CMS.