MARCY BLAKE
NPI 1245338680
Counselor - Professional in Richardson, TX
NPI Status: Active since September 20, 2006
Contact Information
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
Phone: (972) 437-4698
Fax: (972) 690-9309
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About MARCY BLAKE
This page provides the complete NPI Profile along with additional information for Marcy Blake, a provider established in Richardson, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1245338680 assigned on September 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 19616 (TX). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1245338680
- Provider Name
- MARCY BLAKE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2150 LAKESIDE BLVD SUITE 100 RICHARDSON, TX 75082
- Location Phone
- (972) 437-4698
- Location Fax
- (972) 690-9309
- Mailing Address
- 2150 LAKESIDE BLVD SUITE 100 RICHARDSON, TX 75082
- Mailing Phone
- (972) 437-4698
- Mailing Fax
- (972) 690-9309
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 08-19-2014
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marcy Blake opted out of Medicare effective on 06-13-2024 until 06-13-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 19616
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-13-2024
Opt-Out End Date: 06-13-2026
Eligible to Order and Refer? No
Reviews for MARCY BLAKE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 3 | 8 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 3 | 16 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 3 + 1 + 6 + 6 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245338680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. TAMELLA J. TRULSON M.D.
Psychiatry & Neurology
(Psychiatry)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
JORDAN RAY DAVIS LPCI
Counselor
2150 LAKESIDE BLVD
STE 100
RICHARDSON, TX
ZIP 75082
STACY L. WILCOX MA, LPC-S
Counselor
(Professional)
2150 LAKESIDE BLVD
STE 100
RICHARDSON, TX
ZIP 75082
MELINDA E GOUDEAU LPC
Counselor
(Professional)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
MAE-LIN Y MENDOZA LPC
Counselor
(Mental Health)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
PAUL MEIER DAY PROGRAM, INC.
Psychiatry & Neurology
(Psychiatry)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
PAUL MEIER CLINIC, P. A.
Psychiatry & Neurology
(Psychiatry)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
SUMMER N VINSON LPC
Counselor
(Professional)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
MRS. CHELSEY NICOLE KINNEY M.A.
Counselor
(Professional)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
DR. KIMBERLY MICHELLE DOBBINS MD
Psychiatry & Neurology
(Psychiatry)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
DR. PAUL D. MEIER M.D.
Psychiatry & Neurology
(Psychiatry)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
SARAH KENFIELD
Counselor
(Professional)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
BARBARA CRUMP
Counselor
(Mental Health)
2150 LAKESIDE BLVD
#100
RICHARDSON, TX
ZIP 75082
NEUROCARE REHAB DALLAS LLC
Clinic/Center
(Rehabilitation)
2150 LAKESIDE BLVD
SUITE 150
RICHARDSON, TX
ZIP 75082
MS. GINA LYN LANE AALUND LCSW, PLLC
Social Worker
(Clinical)
2150 LAKESIDE BLVD
225E
RICHARDSON, TX
ZIP 75082
DONNA C BRADLEY-SEEHORN CCC-SLP
Speech-Language Pathologist
2150 LAKESIDE BLVD
STE. #150
RICHARDSON, TX
ZIP 75082
KATHRYN SEEBER
Physical Therapist
(Neurology)
2150 LAKESIDE BLVD
RICHARDSON, TX
ZIP 75082
MICHELLE MCCURDY M.S. CCC-SLP
Speech-Language Pathologist
2150 LAKESIDE BLVD
RICHARDSON, TX
ZIP 75082
SARA ADAMS ADDISON APN
Nurse Practitioner
(Psychiatric/Mental Health)
2150 LAKESIDE BLVD
SUITE 100
RICHARDSON, TX
ZIP 75082
JASON MILLS LPC
Counselor
(Professional)
2150 LAKESIDE BLVD
#100
RICHARDSON, TX
ZIP 75082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245338680, enumerated as an "individual" on September 20, 2006.
The provider is located at 2150 LAKESIDE BLVD SUITE 100 RICHARDSON, TX 75082 and the phone number is (972) 437-4698.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
