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BLAKE ROBERT BROKAW MA
NPI 1134895238
Counselor in Allston, MA

Active since August 18, 2021
14 FORDHAM RD, ALLSTON, MA 02134(401) 787-5876 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Robert Brokaw Ma NPPES

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

BLAKE ROBERT BROKAW MA (NPI 1134895238) is an individual counselor in Allston, Massachusetts and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1134895238
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE ROBERT BROKAWCredential: MA
Location Address14 FORDHAM RDAllston, MA 02134-3000
Mailing Address14 Fordham RdAllston, MA 02134-3000 · (401) 787-5876
Phone(401) 787-5876
Sole ProprietorYes
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1134895238 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.
14 FORDHAM RD, Allston, MA 02134
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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.

MICHELLE LYNNE LAPIERRE LICSW
Social Worker
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
JOSEPH DOMNIC ACCARDI
Counselor (Mental Health)
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
KARINA F EVORA
Counselor
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
STEVEN VANCE WALKER
Counselor
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
EMMA NANCE
Counselor
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
ALISSA JANE ROMANOW
Counselor (Mental Health)
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
CASSANDRA SUMMERS
Counselor
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460
DEBORAH ORTIZ
Counselor
14 FORDHAM RD
ALLSTON, MA 02134
Suffolk County (617) 782-6460

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 Brokaw's NPI number?

The NPI number for Blake Brokaw is 1134895238. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Blake Brokaw located?

Blake Brokaw practices at 14 Fordham Rd, Allston, MA 02134. The listed phone number is (401) 787-5876.

What is Blake Brokaw'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 Blake Brokaw was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.