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BLAKE MACK
NPI 1588319818
Counselor in Rock Island, IL

Active since February 15, 2022PECOS Enrolled
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2031 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blake Mack NPPES

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

BLAKE MACK (NPI 1588319818) is an individual counselor in Rock Island, Illinois and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588319818
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE MACK
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351 · (309) 779-2031
Phone(309) 779-2031
Sole ProprietorNo
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1588319818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2701 17TH ST, Rock Island, IL 61201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Mack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. QUANG TUNG NGUYEN M.D.
Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3100
ARTHESIAN TILLERY
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
DEEPTA SHANKAR ATRE STRAND M.D.
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
DANIELLE JILLIAN WADDLE LMSW
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
ALEXIA SWIFT
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
SAMANTHA GOMAN
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
MRS. KRISTINE KEAN RN
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
BRITTANY MICHELLE REDMOND
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000

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 Mack's NPI number?

The NPI number for Blake Mack is 1588319818. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Blake Mack located?

Blake Mack practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-2031.

What is Blake Mack's specialty?

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

Is Blake Mack enrolled in Medicare?

Yes. Blake Mack is registered in the Medicare PECOS enrollment system.

What insurance does Blake Mack accept?

Health plans from Oscar Health and Wellmark Health Plan of Iowa, Inc. list Blake Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blake Mack was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.