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EDWARD BLAKE
NPI 1124435227
Counselor in Petaluma, CA

Active since July 21, 2014
365 KUCK LN, PETALUMA, CA 94952(707) 795-6954 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Blake NPPES

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

EDWARD BLAKE (NPI 1124435227) is an individual counselor in Petaluma, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1124435227
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameEDWARD BLAKE
Location Address365 KUCK LNPetaluma, CA 94952-9606
Mailing Address365 Kuck LnPetaluma, CA 94952-9606 · (707) 795-6954
Phone(707) 795-6954
Sole ProprietorNo
Enumeration DateJuly 21, 2014
✔ NPI 1124435227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
365 KUCK LN, Petaluma, CA 94952
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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.

KELSEY GIELEN
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
MICHELLE LEONARD
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
LISA BENITEZ MA
Marriage & Family Therapist
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
JULI WALTERS
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
KYLE LEW
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
STEPHEN DONNELLAN
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
GEORGE WIEGAND
Counselor
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954
NATALIE CONRAD PSYCHOLOGIST
Psychologist
365 KUCK LN
PETALUMA, CA 94952
Sonoma County (707) 795-6954

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 Edward Blake's NPI number?

The NPI number for Edward Blake is 1124435227. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Edward Blake located?

Edward Blake practices at 365 Kuck Ln, Petaluma, CA 94952. The listed phone number is (707) 795-6954.

What is Edward Blake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edward Blake was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.