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MR. BLAKE GIOVANNI SOULET LPC
NPI 1265297378
Counselor - Mental Health in West Bloomfield, MI

Active since February 19, 2024PECOS Enrolled
6960 ORCHARD LAKE RD STE 202, WEST BLOOMFIELD, MI 48322(248) 985-9942(248) 221-1775 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, May 19, 2026 (2 updates tracked since 2026).

About Mr. Blake Giovanni Soulet Lpc NPPES

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

MR. BLAKE GIOVANNI SOULET LPC (NPI 1265297378) is an individual mental health provider in West Bloomfield, Michigan, licensed in Michigan (6451023525) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265297378
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BLAKE GIOVANNI SOULETCredential: LPC
Location Address6960 ORCHARD LAKE RD STE 202West Bloomfield, MI 48322-4519
Mailing Address5384 Bentley Rd Apt 106West Bloomfield, MI 48322-2189 · (248) 736-7541
Phone(248) 985-9942
Fax(248) 221-1775
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2024
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1265297378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6451023525
6960 ORCHARD LAKE RD STE 202, West Bloomfield, MI 48322
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Blake Giovanni Soulet Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123598000
PECOS Enrollment IDI20260601003372
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 Soulet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellie Mental Health Live Authentic PLLC
6.2 mi
Counseling
41800 W 11 MILE RD STE 110
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1760193031 (947) 219-1283

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 7

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

CATHERINE ANN SPIRKO LLMSW
Social Worker
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (877) 693-5543
LEAH JEAN JOHNSON MSW, LMSW-C
Social Worker (Clinical)
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (248) 985-9942
DESTINIE JENAY DOBSON
Marriage & Family Therapist
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (877) 693-5543
TALIB KAFAJI LP
Psychologist
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (248) 985-9942
SKYLAR LEE SELIK
Social Worker
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (248) 985-9942
MEREDITH REESE
Counselor (Mental Health)
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (877) 693-5543
KORI LYNN AGIUS LMSW CAADC
Social Worker
6960 ORCHARD LAKE RD STE 202
WEST BLOOMFIELD, MI 48322
Oakland County (877) 693-5543

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 Soulet's NPI number?

The NPI number for Blake Soulet is 1265297378. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Blake Soulet located?

Blake Soulet practices at 6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322. The listed phone number is (248) 985-9942.

What is Blake Soulet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Blake Soulet enrolled in Medicare?

Yes. Blake Soulet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Blake Soulet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Soulet reassigns Medicare benefits to Ellie Mental Health Live Authentic PLLC (Novi, MI). 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 Soulet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Soulet accept?

Health plans from Priority Health and UnitedHealthcare list Blake Soulet 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 Blake Soulet was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.