MARCY BLAKE
NPI 1245338680
Counselor - Professional in Richardson, TX

Active since September 20, 2006Opted out of Medicare · through Jun 13, 2028
2150 LAKESIDE BLVD, SUITE 100, RICHARDSON, TX 75082(972) 437-4698(972) 690-9309 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcy Blake NPPES

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

MARCY BLAKE (NPI 1245338680) is an individual professional provider in Richardson, Texas, licensed in Texas (19616) and active in the NPI registry since September 2006. She has opted out of Medicare through June 13, 2028.

NPPES Registry Identity

NPI1245338680
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARCY BLAKE
Location Address2150 LAKESIDE BLVD, SUITE 100Richardson, TX 75082-4302
Mailing Address2150 Lakeside Blvd, Suite 100Richardson, TX 75082-4302 · (972) 437-4698 · Fax (972) 690-9309
Fax(972) 690-9309
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 19, 2014
NPI 1245338680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 19616
2150 LAKESIDE BLVD, Richardson, TX 75082

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Marcy Blake has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 13, 2024 through June 13, 2028.

Opt-Out Effective DateJune 13, 2024
Opt-Out In Effect ThroughJune 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Counselor (Professional)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Counselor (Professional)
2150 LAKESIDE BLVD, #100
RICHARDSON, TX 75082
Social Worker (Clinical)
2150 LAKESIDE BLVD, 225E
RICHARDSON, TX 75082
Psychiatry & Neurology (Psychiatry)
2150 LAKESIDE BLVD, SUITE 100
RICHARDSON, TX 75082
Physical Therapist (Neurology)
2150 LAKESIDE BLVD
RICHARDSON, TX 75082

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 Marcy Blake's NPI number?

The NPI number for Marcy Blake is 1245338680. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Marcy Blake located?

Marcy Blake practices at 2150 Lakeside Blvd Suite 100, Richardson, TX 75082. The listed phone number is (972) 437-4698.

What is Marcy Blake's specialty?

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

Is Marcy Blake enrolled in Medicare?

No. Marcy Blake has opted out of Medicare through June 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Marcy Blake accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Marcy Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcy Blake was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.