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BLAKE ANDREW SHUPE AOD COUNSELOR
NPI 1609359090
Counselor - Addiction (Substance Use Disorder) in Ukiah, CA

Active since September 11, 2018

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Andrew Shupe Aod Counselor NPPES

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

BLAKE ANDREW SHUPE AOD COUNSELOR (NPI 1609359090) is an individual addiction (substance use disorder) provider in Ukiah, California, licensed in California (7581) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1609359090
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBLAKE ANDREW SHUPECredential: AOD COUNSELOR
Location Address201 BRUSH STUkiah, CA 95482-3424
Mailing Address2365 Road ERedwood Valley, CA 95470-9517 · (707) 462-6290
Phone(707) 462-6290
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
✔ NPI 1609359090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 7581
201 BRUSH ST, Ukiah, CA 95482
Open in Google Maps ↗

Other Identifiers 1

Other7581CA · Cadtp

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.

SEANA MARIE BELL
Community Health Worker
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
TRAVIS WELTON WASHINGTON JR.
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
FORD STREET PROJECT
Substance Abuse Rehabilitation Facility
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-1934
JOSH MARTINEZ
Community Health Worker
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
JOHN C QUINONES JR.
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-1934
DERICK ALMENA
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
MELISSA MILLARD
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290
RHEANNAH ANDREA MOLINA
Counselor (Addiction (Substance Use Disorder))
201 BRUSH ST
UKIAH, CA 95482
Mendocino County (707) 462-6290

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 Shupe's NPI number?

The NPI number for Blake Shupe is 1609359090. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Blake Shupe located?

Blake Shupe practices at 201 Brush St, Ukiah, CA 95482. The listed phone number is (707) 462-6290.

What is Blake Shupe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Blake Shupe was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.