BLAKE EVAN GILBO M.S., LPC
NPI 1497016380
Counselor - Mental Health in Champaign, IL

Q: What is Blake Gilbo's NPI number?

The NPI number for Blake Gilbo is 1497016380. It was assigned to this individual provider in the NPPES registry on June 6, 2012. The provider is also known as Blossom Evonne Gilbo Lpc, Ncc.

Q: What is Blake Gilbo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Blake Gilbo was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 06, 2012

908 CRESCENT DR APT 1-1, CHAMPAIGN, IL 61821(217) 974-9091(217) 974-9091 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 29, 2026, Jun 18, 2025 and 1 more (4 updates tracked since 2018).

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About Blake Evan Gilbo M.s., Lpc NPPES

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

BLAKE EVAN GILBO M.S., LPC (NPI 1497016380) is an individual mental health provider in Champaign, Illinois, licensed in Missouri (2015041412) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1497016380

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameBLAKE EVAN GILBOCredential: M.S., LPC

Location Address908 CRESCENT DR APT 1-1Champaign, IL 61821-4270

Mailing Address206 W Marvin AveFredericktown, MO 63645-1648 · (573) 783-9248

Phone(217) 974-9091

Fax(217) 974-9091

Sole ProprietorYes

Enumeration DateJune 6, 2012

Last NPPES UpdateMay 18, 20264 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1497016380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MO · 2015041412

Also ListedCounselorTaxonomy 101Y00000X · License 178.032745 (IL)

908 CRESCENT DR APT 1-1, Champaign, IL 61821

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Other Names 1

Former Name (1)Blossom Evonne Gilbo Lpc, Ncc

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 Blake Gilbo's NPI number?

The NPI number for Blake Gilbo is 1497016380. It was assigned to this individual provider in the NPPES registry on June 6, 2012. The provider is also known as Blossom Evonne Gilbo Lpc, Ncc.

Where is Blake Gilbo located?

Blake Gilbo practices at 908 Crescent Dr Apt 1-1, Champaign, IL 61821. The listed phone number is (217) 974-9091.

What is Blake Gilbo'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 Blake Gilbo was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.