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CHARLES RUEBEN BLAKE III
NPI 1346034360
Counselor - Mental Health in Rock Island, IL

Active since April 07, 2025
2200 3RD AVE, ROCK ISLAND, IL 61201(309) 206-6701 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Rueben Blake Iii NPPES

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

CHARLES RUEBEN BLAKE III (NPI 1346034360) is an individual mental health provider in Rock Island, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1346034360
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES RUEBEN BLAKE III
Location Address2200 3RD AVERock Island, IL 61201-8840
Mailing Address2917 36th StRock Island, IL 61201-5646 · (309) 206-6701
Phone(309) 206-6701
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1346034360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2200 3RD AVE, Rock Island, IL 61201
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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.

CHEYENNE TYLER
Counselor
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2064
JESSE DRIVER JR.
Social Worker (Clinical)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Community Health)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2094
BETH ANN ELLIOTT QMHP
Counselor (Mental Health)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3000
TREVOR FEURT
Social Worker
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 382-8017
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2094
JOANNA SALLOWS-HINES
Social Worker
2200 3RD AVE
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2428

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 Charles Blake's NPI number?

The NPI number for Charles Blake is 1346034360. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Charles Blake located?

Charles Blake practices at 2200 3rd Ave, Rock Island, IL 61201. The listed phone number is (309) 206-6701.

What is Charles 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 Charles Blake was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.