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KYLE BLAYLOCK ACSW
NPI 1487133609
Counselor in Eureka, CA

Active since August 08, 2018
2259 MYRTLE AVE, EUREKA, CA 95501(707) 444-8293(707) 444-8298 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Oct 28, 2022, Nov 27, 2019 and 1 more (4 updates tracked since 2018).

About Kyle Blaylock Acsw NPPES

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

KYLE BLAYLOCK ACSW (NPI 1487133609) is an individual counselor in Eureka, California, licensed in California (100601) and active in the NPI registry since August 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487133609
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKYLE BLAYLOCKCredential: ACSW
Location Address2259 MYRTLE AVEEureka, CA 95501-3325
Mailing Address2259 Myrtle AveEureka, CA 95501-3325 · (707) 444-8293 · Fax (707) 444-8298
Phone(707) 444-8293
Fax(707) 444-8298
Sole ProprietorNo
Enumeration DateAugust 8, 2018
Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1487133609 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 CA · 100601
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.
2259 MYRTLE AVE, Eureka, CA 95501
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Secondary Practice Locations 2

Location 13960 Walnut DrEureka, CA 95503 · Phone (707) 268-8722 · Fax (707) 268-0218
Location 2720 Wood StEureka, CA 95501-4413 · Phone (530) 693-8040

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.

RAVENNA GIANNOTTA
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
SAMANTHA SUMMER WILLIAMS-GRAY BA
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
MS. MARIA ELENA REYES LOPEZ ASW
Counselor
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
DESIRAE ANN WITZKE
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
BRYAN ORTEGA
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (562) 659-3772
MR. TERRY ALLEN ROGERS II
Rehabilitation Practitioner
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8298
JULIA MANDEL LCSW
Social Worker (Clinical)
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293
CAMERON PAPP
Case Manager/Care Coordinator
2259 MYRTLE AVE
EUREKA, CA 95501
Humboldt County (707) 444-8293

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 Kyle Blaylock's NPI number?

The NPI number for Kyle Blaylock is 1487133609. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Kyle Blaylock located?

Kyle Blaylock practices at 2259 Myrtle Ave, Eureka, CA 95501. The listed phone number is (707) 444-8293.

What is Kyle Blaylock'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 Kyle Blaylock was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.