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SHANNON BLAKE
NPI 1376488049
Counselor - Mental Health in Orlando, FL

Active since April 21, 2026
1004 MONTANA ST, ORLANDO, FL 32803(321) 431-5092 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Blake NPPES

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

SHANNON BLAKE (NPI 1376488049) is an individual mental health provider in Orlando, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1376488049
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON BLAKE
Location Address1004 MONTANA STOrlando, FL 32803-2522
Mailing Address1004 Montana StOrlando, FL 32803-2522 · (321) 431-5092
Phone(321) 431-5092
Sole ProprietorYes
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1376488049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1004 MONTANA ST, Orlando, FL 32803
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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 Shannon Blake's NPI number?

The NPI number for Shannon Blake is 1376488049. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Shannon Blake located?

Shannon Blake practices at 1004 Montana St, Orlando, FL 32803. The listed phone number is (321) 431-5092.

What is Shannon 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 Shannon Blake was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.