ALAN WILLARD BLAKE
NPI 1134567951
Counselor in Greenville, SC

Active since June 14, 2013
124 MALLARD ST, GREENVILLE, SC 29601(864) 241-1040(864) 241-8189 Get Directions Write a Review

NPPES record last updated: June 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alan Willard Blake NPPES

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

ALAN WILLARD BLAKE (NPI 1134567951) is an individual counselor in Greenville, South Carolina and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1134567951
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameALAN WILLARD BLAKE
Location Address124 MALLARD STGreenville, SC 29601-4046
Mailing Address124 Mallard StGreenville, SC 29601-4046 · (864) 241-1040 · Fax (864) 241-8189
Fax(864) 241-8189
Sole ProprietorYes
Enumeration DateJune 14, 2013
NPI 1134567951 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.
124 MALLARD ST, Greenville, SC 29601

Other Identifiers 2

Medicaid301100SC
Medicare PIN3333SC

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.

Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601
Registered Nurse
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Counselor
124 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Mental Health (Including Community Mental Health Center))
124 MALLARD ST
GREENVILLE, SC 29601
Counselor (Mental Health)
124 MALLARD ST
GREENVILLE, SC 29601

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 Alan Blake's NPI number?

The NPI number for Alan Blake is 1134567951. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Alan Blake located?

Alan Blake practices at 124 Mallard St, Greenville, SC 29601. The listed phone number is (864) 241-1040.

What is Alan 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 Alan Blake was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.