SEAN MICHAEL BLAKE PCC
NPI 1366538522
Counselor in Akron, OH

Q: What is Sean Blake's NPI number?

The NPI number for Sean Blake is 1366538522. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Sean Blake's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Blake was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

340 S BROADWAY ST, AKRON, OH 44308(330) 253-3100(330) 253-5248 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sean Michael Blake Pcc NPPES

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

SEAN MICHAEL BLAKE PCC (NPI 1366538522) is an individual counselor in Akron, Ohio, licensed in Ohio (E4378) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1366538522

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSEAN MICHAEL BLAKECredential: PCC

Location Address340 S BROADWAY STAkron, OH 44308-1529

Mailing Address340 S Broadway StAkron, OH 44308-1529 · (330) 253-3100 · Fax (330) 253-5248

Phone(330) 253-3100

Fax(330) 253-5248

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366538522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · E4378

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

340 S BROADWAY ST, Akron, OH 44308

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Other Identifiers 1

Other000000388942OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Michael Blake Pcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951748037

PECOS Enrollment IDI20240325003288

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.

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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.

MRS. MOLLY A. HOCKIN MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)