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SEAN MICHAEL BLAKE PCC
NPI 1366538522
Counselor in Akron, OH

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Blake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Portage Path Community Mental Health Center
Same address
Family Medicine
340 S BROADWAY ST
Akron, OH 44308
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
NPI 1003777343 (330) 253-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER
Family Medicine
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
GLORIA JEANE RODGERS RN
Registered Nurse
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
JASON ANDREW BAILEY
Peer Specialist
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
SCOTT MITCHELL STUTLER LSW
Social Worker
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
STEPHANIE MACDONALD LISW
Social Worker (Clinical)
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
ALEXUS ROSE BARRY
Social Worker
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100
LAURA JANE FAVARO LPCC
Counselor (Mental Health)
340 S BROADWAY ST
AKRON, OH 44308
Summit County (330) 253-3100

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 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.

Where is Sean Blake located?

Sean Blake practices at 340 S Broadway St, Akron, OH 44308. The listed phone number is (330) 253-3100.

What is Sean Blake's specialty?

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

Is Sean Blake enrolled in Medicare?

Yes. Sean Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sean Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Blake reassigns Medicare benefits to Portage Path Community Mental Health Center (Akron, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Sean Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Blake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.