DR. SUSAN D BLAKE LPC
NPI 1720127855
Counselor - Professional in Greensboro, NC

Active since February 05, 2007
3650 MORRIS FARM DR, 3B, GREENSBORO, NC 27409(336) 402-7346 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan D Blake Lpc NPPES

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

DR. SUSAN D BLAKE LPC (NPI 1720127855) is an individual professional provider in Greensboro, North Carolina, licensed in North Carolina (5578) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1720127855
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. SUSAN D BLAKECredential: LPC
Location Address3650 MORRIS FARM DR, 3BGreensboro, NC 27409-8944
Mailing Address3650 Morris Farm Dr, 3bGreensboro, NC 27409-8944 · (336) 402-7346
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 19, 2016
NPI 1720127855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 5578
3650 MORRIS FARM DR, Greensboro, NC 27409

Other Identifiers 1

Medicaid6103471NC

Other Providers at the Same Location NPPES

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

Specialist/Technologist (Athletic Trainer)
3650 MORRIS FARM DR, #2B
GREENSBORO, NC 27409

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 Susan Blake's NPI number?

The NPI number for Susan Blake is 1720127855. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Susan Blake located?

Susan Blake practices at 3650 Morris Farm Dr 3B, Greensboro, NC 27409. The listed phone number is (336) 402-7346.

What is Susan Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Susan Blake was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.