JILLISA YVETTE BLAKE CDCA
NPI 1912610866
Counselor - Addiction (Substance Use Disorder) in Gahanna, OH

Q: What is Jillisa Blake's NPI number?

The NPI number for Jillisa Blake is 1912610866. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Q: What is Jillisa Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jillisa Blake was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 05, 2023

819 VENETIAN WAY, GAHANNA, OH 43230(614) 956-9323 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jillisa Yvette Blake Cdca NPPES

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

JILLISA YVETTE BLAKE CDCA (NPI 1912610866) is an individual addiction (substance use disorder) provider in Gahanna, Ohio, licensed in Ohio (CDCA.182979) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1912610866

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJILLISA YVETTE BLAKECredential: CDCA

Location Address819 VENETIAN WAYGahanna, OH 43230-1855

Mailing Address819 Venetian WayGahanna, OH 43230-1855 · (614) 956-9323

Phone(614) 956-9323

Sole ProprietorYes

Enumeration DateJanuary 5, 2023

NPPES CertifiedJanuary 5, 2023

✔ NPI 1912610866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · CDCA.182979

819 VENETIAN WAY, Gahanna, OH 43230

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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 Jillisa Blake's NPI number?

The NPI number for Jillisa Blake is 1912610866. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Jillisa Blake located?

Jillisa Blake practices at 819 Venetian Way, Gahanna, OH 43230. The listed phone number is (614) 956-9323.

What is Jillisa Blake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jillisa Blake was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.