BLAKE A GARCIA
NPI 1104443282
Counselor - Mental Health in Freeport, NY

Active since July 06, 2020Opted out of Medicare · through Feb 21, 2027
105 PEARSALL AVE, FREEPORT, NY 11520(631) 827-3806 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake A Garcia NPPES

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

BLAKE A GARCIA (NPI 1104443282) is an individual mental health provider in Freeport, New York and active in the NPI registry since July 2020. He has opted out of Medicare through February 21, 2027.

NPPES Registry Identity

NPI1104443282
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBLAKE A GARCIA
Location Address105 PEARSALL AVEFreeport, NY 11520-2618
Mailing Address14 Jordan CtDix Hills, NY 11746-8319 · (631) 827-3806
Sole ProprietorYes
Enumeration DateJuly 6, 2020
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1104443282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
105 PEARSALL AVE, Freeport, NY 11520

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Blake A Garcia has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2025 through February 21, 2027.

Opt-Out Effective DateFebruary 21, 2025
Opt-Out In Effect ThroughFebruary 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
105 PEARSALL AVE
FREEPORT, NY 11520
Social Worker (Clinical)
105 PEARSALL AVE
FREEPORT, NY 11520

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 Blake Garcia's NPI number?

The NPI number for Blake Garcia is 1104443282. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Blake Garcia located?

Blake Garcia practices at 105 Pearsall Ave, Freeport, NY 11520. The listed phone number is (631) 827-3806.

What is Blake Garcia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Blake Garcia enrolled in Medicare?

No. Blake Garcia has opted out of Medicare through February 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Blake Garcia was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.