BRENDA REBECCA BLAKE
NPI 1285243436
Counselor - Mental Health in Salem, OR

Active since July 23, 2020
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305(503) 763-5734 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Rebecca Blake NPPES

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

BRENDA REBECCA BLAKE (NPI 1285243436) is an individual mental health provider in Salem, Oregon and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1285243436
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDA REBECCA BLAKE
Location Address3876 BEVERLY AVE NE BLDG GSalem, OR 97305-1319
Mailing Address3867 Wolverine St Ne Bldg FSalem, OR 97305-4266 · (503) 763-5734
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1285243436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3876 BEVERLY AVE NE BLDG G, Salem, OR 97305

Other Identifiers 1

Medicaid1285243436OR

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.

Case Manager/Care Coordinator
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Case Manager/Care Coordinator
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Peer Specialist
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Case Manager/Care Coordinator
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Case Manager/Care Coordinator
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Case Manager/Care Coordinator
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Social Worker
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
Social Worker
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305

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 Brenda Blake's NPI number?

The NPI number for Brenda Blake is 1285243436. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Brenda Blake located?

Brenda Blake practices at 3876 Beverly Ave NE Bldg G, Salem, OR 97305. The listed phone number is (503) 763-5734.

What is Brenda Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenda Blake was last updated on June 23, 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.