MISS MICKIA TICRE BLAKE
NPI 1841813201
Counselor - Mental Health in Port St Lucie, FL

Active since May 20, 2020
540 NW UNIVERSITY BLVD STE 204, PORT ST LUCIE, FL 34986(561) 216-5711 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Mickia Ticre Blake NPPES

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

MISS MICKIA TICRE BLAKE (NPI 1841813201) is an individual mental health provider in Port St Lucie, Florida, licensed in (IMH28976) and active in the NPI registry since May 2020. She maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1841813201
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MICKIA TICRE BLAKE
Location Address540 NW UNIVERSITY BLVD STE 204Port St Lucie, FL 34986-2281
Mailing Address540 Nw University Blvd Ste 204Port St Lucie, FL 34986-2281
Sole ProprietorYes
Enumeration DateMay 20, 2020
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1841813201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed · IMH28976
540 NW UNIVERSITY BLVD STE 204, Port St Lucie, FL 34986

Secondary Practice Location 1

Location 14355 3rd Ave NSt Petersburg, FL 33713-7305 · Phone (908) 783-4403

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
Social Worker (Clinical)
540 NW UNIVERSITY BLVD STE 204
PORT SAINT LUCIE, FL 34986
Counselor (Addiction (Substance Use Disorder))
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986
Social Worker (Clinical)
540 NW UNIVERSITY BLVD STE 204
PORT ST LUCIE, FL 34986

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 Mickia Blake's NPI number?

The NPI number for Mickia Blake is 1841813201. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Mickia Blake located?

Mickia Blake practices at 540 NW University Blvd Ste 204, Port St Lucie, FL 34986. The listed phone number is (561) 216-5711.

What is Mickia 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 Mickia Blake was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.