JENNIFER L BLAKE MA
NPI 1457649204
Marriage & Family Therapist in Milwaukie, OR

Active since July 14, 2011
11630 SE 40TH AVE, SUITE A, MILWAUKIE, OR 97222(503) 794-5968 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer L Blake Ma NPPES

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

JENNIFER L BLAKE MA (NPI 1457649204) is an individual marriage & family therapist in Milwaukie, Oregon, licensed in Oregon (R1576) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1457649204
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER L BLAKECredential: MA
Location Address11630 SE 40TH AVE, SUITE AMilwaukie, OR 97222-6195
Mailing Address11630 Se 40th Ave, Suite AMilwaukie, OR 97222-6195 · (503) 794-5968
Sole ProprietorYes
Enumeration DateJuly 14, 2011
NPI 1457649204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in OR · R1576
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X · License R1530 (OR)
11630 SE 40TH AVE, Milwaukie, OR 97222

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
11630 SE 40TH AVE, SUITE C
MILWAUKIE, OR 97222
Public Health or Welfare
11630 SE 40TH AVE, STE. A
MILWAUKIE, OR 97222
Naturopath
11630 SE 40TH AVE, SUITE C
MILWAUKIE, OR 97222
Psychologist (Clinical)
11630 SE 40TH AVE
MILWAUKIE, OR 97222
Social Worker (Clinical)
11630 SE 40TH AVE
MILWAUKIE, OR 97222
Counselor (Professional)
11630 SE 40TH AVE
MILWAUKIE, OR 97222
Social Worker (Clinical)
11630 SE 40TH AVE
MILWAUKIE, OR 97222
Social Worker (Clinical)
11630 SE 40TH AVE
MILWAUKIE, OR 97222

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 Jennifer Blake's NPI number?

The NPI number for Jennifer Blake is 1457649204. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Jennifer Blake located?

Jennifer Blake practices at 11630 SE 40th Ave Suite A, Milwaukie, OR 97222. The listed phone number is (503) 794-5968.

What is Jennifer Blake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Blake was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.