MS. DORENE G BLAKE MA MFT
NPI 1225191745
Marriage & Family Therapist in Capitola, CA

Q: What is Dorene Blake's NPI number?

The NPI number for Dorene Blake is 1225191745. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Dorene Blake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Dorene Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 18, 2006

820 BAY AVENUE, SUITE 132, CAPITOLA, CA 95010(831) 475-1615(831) 476-2433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Dorene G Blake Ma Mft NPPES

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

MS. DORENE G BLAKE MA MFT (NPI 1225191745) is an individual marriage & family therapist in Capitola, California, licensed in California (MFT27688) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1225191745

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. DORENE G BLAKECredential: MA MFT

Location Address820 BAY AVENUE, SUITE 132Capitola, CA 95010

Mailing Address4160 Jade St, #31Capitola, CA 95010 · (831) 476-2433 · Fax (831) 476-2433

Phone(831) 475-1615

Fax(831) 476-2433

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225191745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFT27688

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

820 BAY AVENUE, Capitola, CA 95010

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Other Providers at the Same Location NPPES

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

MRS. JOANNE M YOUNG LCSW

Social Worker

820 BAY AVENUE, SUITE 205
CAPITOLA, CA 95010

Santa Cruz County (831) 462-1849

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 Dorene Blake's NPI number?

The NPI number for Dorene Blake is 1225191745. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Dorene Blake located?

Dorene Blake practices at 820 Bay Avenue Suite 132, Capitola, CA 95010. The listed phone number is (831) 475-1615.

What is Dorene Blake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Dorene Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.