BLAKE PAXTON PHD
NPI 1700498904
Counselor in Chicago, IL

Q: What is Blake Paxton's NPI number?

The NPI number for Blake Paxton is 1700498904. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Q: What is Blake Paxton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Paxton was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 19, 2020PECOS Enrolled

840 W IRVING PARK RD STE 302, CHICAGO, IL 60613(773) 659-9207 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Aug 19, 2020 (2 updates tracked since 2020).

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About Blake Paxton Phd NPPES

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

BLAKE PAXTON PHD (NPI 1700498904) is an individual counselor in Chicago, Illinois, licensed in Illinois (180017013) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700498904

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameBLAKE PAXTONCredential: PHD

Location Address840 W IRVING PARK RD STE 302Chicago, IL 60613-3011

Mailing Address5553 N Magnolia Ave Apt 2eChicago, IL 60640-1332 · (773) 360-4548

Phone(773) 659-9207

Sole ProprietorNo

Enumeration DateAugust 19, 2020

Last NPPES UpdateMay 13, 20252 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1700498904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 180017013

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.

840 W IRVING PARK RD STE 302, Chicago, IL 60613

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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 Paxton Phd 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.

PATRICK MICHAEL PADDOCK

Counselor