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TYSCHAL LUMBREA BLAKE
NPI 1427779016
Counselor in Portland, OR

Active since September 12, 2022
1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyschal Lumbrea Blake NPPES

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

TYSCHAL LUMBREA BLAKE (NPI 1427779016) is an individual counselor in Portland, Oregon and active in the NPI registry since September 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427779016
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTYSCHAL LUMBREA BLAKE
Location Address1904 SE DIVISION STPortland, OR 97202-1146
Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 704-1350
Phone(503) 517-8663
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1427779016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1904 SE DIVISION ST, Portland, OR 97202
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Secondary Practice Locations 2

Location 15847 NE 122nd Ave Ste 200Portland, OR 97230-1079 · Phone (971) 339-7040
Location 21200 Concord Ave Ste 100Concord, CA 94520-4969 · Phone (877) 200-5886

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.

MR. KIRK FENTON
Counselor (Mental Health)
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
EMMA REILLEY BUDDEKE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
KRIS ONSHUS-WOMBLE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
AARYN PRETTYMAN MSW
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
ALLEN MAXWELL HENDERSON
Case Manager/Care Coordinator
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
BRITTANY HOPE
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CELESTE ARIEL MALONE
Marriage & Family Therapist
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663
CRISTINA DOWNEY
Counselor
1904 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 517-8663

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 Tyschal Blake's NPI number?

The NPI number for Tyschal Blake is 1427779016. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Tyschal Blake located?

Tyschal Blake practices at 1904 SE Division St, Portland, OR 97202. The listed phone number is (503) 517-8663.

What is Tyschal Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyschal Blake was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.