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KELLIE BLAKE
NPI 1720912223
Counselor - Mental Health in Pembroke, MA

Active since June 10, 2026
20 WINTER ST, PEMBROKE, MA 02359(781) 312-1393 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Blake NPPES

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

KELLIE BLAKE (NPI 1720912223) is an individual mental health provider in Pembroke, Massachusetts and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1720912223
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE BLAKE
Location Address20 WINTER STPembroke, MA 02359-4965
Mailing Address17 Baker StHalifax, MA 02338-1120
Phone(781) 312-1393
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1720912223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20 WINTER ST, Pembroke, MA 02359
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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.

NAOMI GRANT
Assistant Behavior Analyst
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (508) 287-8692
LINDA SHEPPARD-REECE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (781) 312-1393
AMBER ROSE WALSH
Counselor (Mental Health)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (781) 312-1393
COLLEEN RILEY
Behavior Technician
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (508) 287-8692
DEIRDRE M. DOWD-PIZZUTO LICSW
Social Worker (Clinical)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (781) 312-1393
LAURA STASKA
Nurse Practitioner (Psychiatric/Mental Health)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (781) 887-5072
KHARY KJ GREEN
Counselor (Mental Health)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (508) 690-8221
RACHAEL FORTUNATO NP
Nurse Practitioner (Psychiatric/Mental Health)
20 WINTER ST
PEMBROKE, MA 02359
Plymouth County (781) 924-7681

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 Kellie Blake's NPI number?

The NPI number for Kellie Blake is 1720912223. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Kellie Blake located?

Kellie Blake practices at 20 Winter St, Pembroke, MA 02359. The listed phone number is (781) 312-1393.

What is Kellie Blake's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Blake was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.