WENDY BLAKE SLP
NPI 1609010529
Speech-Language Pathologist in Canton, GA

Active since April 22, 2009Accepts Medicare Assignment
133 GOLD MILL PL, CANTON, GA 30114(470) 504-4905(470) 202-2043 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wendy Blake Slp NPPES

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

WENDY BLAKE SLP (NPI 1609010529) is an individual speech-language pathologist provider in Canton, Georgia, licensed in Georgia (SLP006297) and active in the NPI registry since April 2009. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1609010529
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameWENDY BLAKECredential: SLP
Location Address133 GOLD MILL PLCanton, GA 30114-4025
Mailing Address133 Gold Mill PlCanton, GA 30114-4025 · (703) 400-5518
Fax(470) 202-2043
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 22, 2009
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1609010529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in GA · SLP006297
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
133 GOLD MILL PL, Canton, GA 30114

Other Names 1

Former Name (1)Wendy Greene Slp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wendy Blake Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628471695
PECOS Enrollment IDI20210728002212

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of swallowing and feeding disorder 92526
Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.
31 services12 patients
Evaluation of swallowing function 92610
Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.
19 services16 patients

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
133 GOLD MILL PL
CANTON, GA 30114
Physical Therapist
133 GOLD MILL PL
CANTON, GA 30114
Occupational Therapist
133 GOLD MILL PL
CANTON, GA 30114

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 Wendy Blake's NPI number?

The NPI number for Wendy Blake is 1609010529. It was assigned to this individual provider in the NPPES registry on April 22, 2009. The provider is also known as Wendy Greene Slp.

Where is Wendy Blake located?

Wendy Blake practices at 133 Gold Mill Pl, Canton, GA 30114. The listed phone number is (470) 504-4905.

What is Wendy Blake's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Wendy Blake enrolled in Medicare?

Yes. Wendy Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wendy Blake was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.