1. Home
  2. Directory
  3. Florida
  4. Saint Johns
  5. Counselor
  6. NPI Profile

BLAKE FORREST KLEPAL LMHC
NPI 1639684681
Counselor - Mental Health in Saint Johns, FL

Active since December 12, 2017PECOS Enrolled
30 ARDISIA LN, SAINT JOHNS, FL 32259(904) 376-3800 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 18, 2024, Aug 30, 2023, Dec 12, 2017 (3 updates tracked since 2017).

About Blake Forrest Klepal Lmhc NPPES

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

BLAKE FORREST KLEPAL LMHC (NPI 1639684681) is an individual mental health provider in Saint Johns, Florida, licensed in Florida (MH22337) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639684681
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLAKE FORREST KLEPALCredential: LMHC
Location Address30 ARDISIA LNSaint Johns, FL 32259-3881
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800
Phone(904) 376-3800
Sole ProprietorNo
Enumeration DateDecember 12, 2017
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1639684681 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 FL · MH22337
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-17-45567 (FL)
30 ARDISIA LN, Saint Johns, FL 32259
Open in Google Maps ↗

Other Names 1

Former Name (1)Tiffany Blake Forrest Lmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Forrest Klepal Lmhc 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 7

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

PHILIP DAVID JUSTICE
Marriage & Family Therapist
30 ARDISIA LN
SAINT JOHNS, FL 32259
St. Johns County (904) 376-3800
KANAKLAKSHMI MASODKAR MD
Psychiatry & Neurology (Psychiatry)
30 ARDISIA LN
SAINT JOHNS, FL 32259
St. Johns County (904) 376-3800
HENRY DONALD BENSON JR. PHD
Psychologist (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
St. Johns County (904) 376-3800
KAREN SNIPES MCNEELY ARNP
Nurse Practitioner (Psychiatric/Mental Health)
30 ARDISIA LN
SAINT JOHNS, FL 32259
St. Johns County (904) 376-3800
BAPTIST PRIMARY CARE INC
Family Medicine
30 ARDISIA LN
ST JOHNS, FL 32259
St. Johns County (904) 287-2794
KELSEY L. BLOOM LCSW
Social Worker (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
St. Johns County (904) 376-3800
MS. JENNIFER MICHELLE SCOTT PA-C
Physician Assistant
30 ARDISIA LN
ST JOHNS, FL 32259
St. Johns County (904) 287-2794

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 Klepal's NPI number?

The NPI number for Blake Klepal is 1639684681. It was assigned to this individual provider in the NPPES registry on December 12, 2017. The provider is also known as Tiffany Blake Forrest Lmhc.

Where is Blake Klepal located?

Blake Klepal practices at 30 Ardisia Ln, Saint Johns, FL 32259. The listed phone number is (904) 376-3800.

What is Blake Klepal's specialty?

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

Is Blake Klepal enrolled in Medicare?

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

What insurance does Blake Klepal accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Blake Klepal 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 Klepal was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.