GWENDOLYN BLAKE MA, ED.S., LPC
NPI 1356868236
Counselor - Mental Health in Clinton, NJ

Active since August 23, 2017
65 OLD RT. 22, SUITE 7B, CLINTON, NJ 08809(908) 386-2897 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gwendolyn Blake Ma, Ed.s., Lpc NPPES

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

GWENDOLYN BLAKE MA, ED.S., LPC (NPI 1356868236) is an individual mental health provider in Clinton, New Jersey, licensed in New Jersey (37PC00540100) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1356868236
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGWENDOLYN BLAKECredential: MA, ED.S., LPC
Location Address65 OLD RT. 22, SUITE 7BClinton, NJ 08809
Mailing Address285 Hillcrest DrMilford, NJ 08848-1003 · (908) 892-0005
Sole ProprietorYes
Enumeration DateAugust 23, 2017
NPI 1356868236 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 NJ · 37PC00540100
65 OLD RT. 22, Clinton, NJ 08809

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gwendolyn Blake's NPI number?

The NPI number for Gwendolyn Blake is 1356868236. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Gwendolyn Blake located?

Gwendolyn Blake practices at 65 Old Rt. 22 Suite 7B, Clinton, NJ 08809. The listed phone number is (908) 386-2897.

What is Gwendolyn 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 Gwendolyn Blake was last updated on August 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.