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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAKE SHIELDS
NPI 1790692010
Counselor in Tulsa, OK

Active since August 24, 2026
4103 S YALE AVE STE B, TULSA, OK 74135(918) 382-7300 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blake Shields NPPES

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

BLAKE SHIELDS (NPI 1790692010) is an individual counselor in Tulsa, Oklahoma and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1790692010
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE SHIELDS
Location Address4103 S YALE AVE STE BTulsa, OK 74135-6002
Mailing Address4103 S Yale Ave Ste BTulsa, OK 74135-6002 · (918) 382-7300
Phone(918) 382-7300
Sole ProprietorYes
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1790692010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
4103 S YALE AVE STE B, Tulsa, OK 74135
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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.

MRS. FELISA MONTEE
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 230-9751
CEDRIC DUANE WALKER
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
NICOLE MARIE SCOTT
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
SOPHIE DANIELLE CUMMINS
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
SETH VASANTH KUMAR NANDETI
Counselor (Mental Health)
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
DEANN GIBSON
Peer Specialist
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 568-0277
DYLAN COLE COMBS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300
JENNY FLOWER
Case Manager/Care Coordinator
4103 S YALE AVE STE B
TULSA, OK 74135
Tulsa County (918) 382-7300

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 Shields's NPI number?

The NPI number for Blake Shields is 1790692010. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Blake Shields located?

Blake Shields practices at 4103 S Yale Ave Ste B, Tulsa, OK 74135. The listed phone number is (918) 382-7300.

What is Blake Shields's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Shields was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.