SHAWNTAE MONIQUE BLAKE
NPI 1780450114
Counselor - Professional in Salisbury, MD

NPI Status: Active since November 28, 2023

Contact Information

100 E MAIN ST STE 502
SALISBURY, MD
ZIP 21801
Phone: (667) 281-0094

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  • Individual
  • Female
  • Counselor
  • Professional

About SHAWNTAE BLAKE

This page provides the complete NPI Profile along with additional information for Shawntae Blake, a provider established in Salisbury, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1780450114 assigned on November 2023. The practitioner's primary taxonomy code is 101YP2500X with license number LGP14526 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1780450114
Provider Name
SHAWNTAE MONIQUE BLAKE
Gender
Female
Entity Type
Individual
Location Address
100 E MAIN ST STE 502 SALISBURY, MD 21801
Location Phone
(667) 281-0094
Mailing Address
514 JEFFERSON ST SALISBURY, MD 21804
Mailing Phone
(240) 356-3640
Is Sole Proprietor?
No
Enumeration Date
11-28-2023
Last Update Date
11-28-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LGP14526
License State
MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780450114
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716085012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 5 + 0 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1780450114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

PHOENIX RISING THERAPY LLC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

100 E MAIN ST STE 502
SALISBURY, MD
ZIP 21801

(410) 397-5176

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780450114, enumerated as an "individual" on November 28, 2023.

The provider is located at 100 E MAIN ST STE 502 SALISBURY, MD 21801 and the phone number is (667) 281-0094.

Counselor with taxonomy code 101YP2500X and a focus in Professional.