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BLAKE WINZELER
NPI 1245662345
Counselor in Oakland, CA

Active since July 31, 2013PECOS EnrolledAccepts Medicare Assignment
1440 BROADWAY, 610, OAKLAND, CA 94612(510) 628-9065 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blake Winzeler NPPES

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

BLAKE WINZELER (NPI 1245662345) is an individual counselor in Oakland, California and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245662345
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE WINZELER
Location Address1440 BROADWAY, 610Oakland, CA 94612-2041
Mailing Address1465 York StSan Francisco, CA 94110-4822
Phone(510) 628-9065
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 31, 2013
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1245662345 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.
1440 BROADWAY, Oakland, CA 94612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Winzeler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446661409
PECOS Enrollment IDI20201123001610
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Blake Winzeler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.4 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SIMRAT KAUR VERRAICH
Student in an Organized Health Care Education/Training Program
1440 BROADWAY, SUITE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
SUZAN AHMED M.A.
Student in an Organized Health Care Education/Training Program
1440 BROADWAY, STE 610
OAKLAND, CA 94612
Alameda County (928) 446-8668
KATIE LEIGH MESEROLL PSY.D.
Student in an Organized Health Care Education/Training Program
1440 BROADWAY, SUITE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
MS. KIMBERLY DUNCAN
Counselor
1440 BROADWAY, SUITE 610
OAKLAND, CA 94612
Alameda County (510) 628-9070
DR. SIMON NATHAN FERBER PSYD
Psychologist (Clinical)
1440 BROADWAY, 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
MELISSA ANNE MURPHY
Psychologist (Forensic)
1440 BROADWAY, SUITE 610
OAKLAND, CA 94612
Alameda County (415) 483-2024
MR. CLAYTON I HARADA
Counselor (Mental Health)
1440 BROADWAY, SUITE 700
OAKLAND, CA 94612
Alameda County (510) 832-1315
MRS. AMITY SADIGURSKY
Counselor (Mental Health)
1440 BROADWAY, SUITE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065

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 Winzeler's NPI number?

The NPI number for Blake Winzeler is 1245662345. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Blake Winzeler located?

Blake Winzeler practices at 1440 Broadway 610, Oakland, CA 94612. The listed phone number is (510) 628-9065.

What is Blake Winzeler's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Blake Winzeler enrolled in Medicare?

Yes. Blake Winzeler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blake Winzeler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Winzeler reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Winzeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blake Winzeler was last updated on January 3, 2022. 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.