BLAKE BYERS
NPI 1811535123
Counselor in Centralia, IL

Active since December 17, 2019
904 E MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Byers NPPES

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

BLAKE BYERS (NPI 1811535123) is an individual counselor in Centralia, Illinois and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1811535123
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE BYERS
Location Address904 E MARTIN LUTHER KING DRIVECentralia, IL 62801-3058
Mailing Address904 E Martin Luther King DriveCentralia, IL 62801-3058 · (618) 533-1391 · Fax (618) 533-0012
Fax(618) 533-0012
Sole ProprietorNo
Enumeration DateDecember 17, 2019
NPI 1811535123 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.
904 E MARTIN LUTHER KING DRIVE, Centralia, IL 62801

Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 13

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

Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Social Worker
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor (Mental Health)
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Counselor
904 E MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801

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 Byers's NPI number?

The NPI number for Blake Byers is 1811535123. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Blake Byers located?

Blake Byers practices at 904 E Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Blake Byers'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 Byers was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.