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JEREMY BRENT BLAKE CDCA
NPI 1285364158
Counselor - Addiction (Substance Use Disorder) in Ironton, OH

Active since June 14, 2022
214 S 4TH ST, IRONTON, OH 45638(740) 532-3767(740) 532-3385 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Brent Blake Cdca NPPES

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

JEREMY BRENT BLAKE CDCA (NPI 1285364158) is an individual addiction (substance use disorder) provider in Ironton, Ohio, licensed in Ohio (CDCA.181009) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1285364158
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY BRENT BLAKECredential: CDCA
Location Address214 S 4TH STIronton, OH 45638-1610
Mailing Address214 S 4th StIronton, OH 45638-1610 · (740) 532-3767 · Fax (740) 532-3385
Phone(740) 532-3767
Fax(740) 532-3385
Sole ProprietorNo
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1285364158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.181009
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
214 S 4TH ST, Ironton, OH 45638
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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.

JOSEPH S MORRIS CDCA
Counselor (Addiction (Substance Use Disorder))
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
SPECTRUM OUTREACH SERVICES, LTD
Community/Behavioral Health
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
ROBERT L VINSON CMS
Case Manager/Care Coordinator
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
ERIC ALEXANDER ELLIS CDCA, PRS
Counselor (Addiction (Substance Use Disorder))
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
CHRISTINE L EVANS CDCA
Counselor (Addiction (Substance Use Disorder))
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
MERANDA BUFFINGTON CDCA
Counselor (Addiction (Substance Use Disorder))
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
MATTIE ELIZABETH MINTER AAB, CDCA
Counselor (Addiction (Substance Use Disorder))
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767
LAUREN H LUTTRELL CMS
Case Manager/Care Coordinator
214 S 4TH ST
IRONTON, OH 45638
Lawrence County (740) 532-3767

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 Jeremy Blake's NPI number?

The NPI number for Jeremy Blake is 1285364158. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Jeremy Blake located?

Jeremy Blake practices at 214 S 4th St, Ironton, OH 45638. The listed phone number is (740) 532-3767.

What is Jeremy Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremy Blake was last updated on June 14, 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.