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KEVIN BLAKE PC
NPI 1215394424
Counselor - Professional in Cleveland, OH

Active since January 19, 2016
4400 EUCLID AVE, CLEVELAND, OH 44103(216) 432-7200(216) 432-7253 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2020, Jan 19, 2016 (2 updates tracked since 2016).

About Kevin Blake Pc NPPES

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

KEVIN BLAKE PC (NPI 1215394424) is an individual professional provider in Cleveland, Ohio, licensed in Ohio (E.1800638) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1215394424
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN BLAKECredential: PC
Location Address4400 EUCLID AVECleveland, OH 44103-3734
Mailing Address4500 Euclid AveCleveland, OH 44103-3736 · (216) 432-7200 · Fax (216) 432-7253
Phone(216) 432-7200
Fax(216) 432-7253
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
Last NPPES UpdateMarch 23, 20202 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
✔ NPI 1215394424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in OH · E.1800638✔ Licensed in OH · C1300277
4400 EUCLID AVE, Cleveland, OH 44103
Open in Google Maps ↗

Other Identifiers 1

OtherC1300277OH · State License

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.

CATHERINE ELIZABETH HUFF LSW
Social Worker
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 314-2694
JOSHUA DURKALSKI SW
Social Worker
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 432-7200
LATOYKA PRIESTER
Case Manager/Care Coordinator
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 835-0913
BERRY J THOMPSON III
Case Manager/Care Coordinator
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 373-2819
LILAH MICHELLE COOPER
Counselor
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 651-2037
LORI SENDER LISW/S
Social Worker
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 432-7200
SHARON RENNE BURNS
Case Manager/Care Coordinator
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 432-7200
AARON MCCLENTON
Case Manager/Care Coordinator
4400 EUCLID AVE
CLEVELAND, OH 44103
Cuyahoga County (216) 431-5800

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 Kevin Blake's NPI number?

The NPI number for Kevin Blake is 1215394424. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Kevin Blake located?

Kevin Blake practices at 4400 Euclid Ave, Cleveland, OH 44103. The listed phone number is (216) 432-7200.

What is Kevin Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kevin Blake was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.