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BLAKE MICO LPC
NPI 1932561065
Counselor in Clinton Township, MI

Active since March 28, 2016
16645 15 MILE RD STE B, CLINTON TOWNSHIP, MI 48035(586) 213-5505 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Blake Mico Lpc NPPES

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

BLAKE MICO LPC (NPI 1932561065) is an individual counselor in Clinton Township, Michigan, licensed in Michigan (6401015338) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1932561065
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBLAKE MICOCredential: LPC
Location Address16645 15 MILE RD STE BClinton Township, MI 48035-2206
Mailing Address16645 15 Mile Rd Ste BClinton Township, MI 48035-2206 · (586) 213-5505
Phone(586) 213-5505
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1932561065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401015338
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.
16645 15 MILE RD STE B, Clinton Township, MI 48035
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Other Providers at the Same Location NPPES 7

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

STEVEN EDMUND LATAWIEC LLPC
Counselor (Mental Health)
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
ASHLEY KRAUT
Counselor
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
TAYLOR ROSE ALLEN MS, TLLP
Counselor (Mental Health)
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
COURTNEY KEELER LPC
Counselor (Mental Health)
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
ASHLEY NICHOLE COLLINS
Counselor (Mental Health)
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5505
KERRY LYNN SCHWARK MA, LPC, NCC
Counselor (Mental Health)
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 213-5055
MRS. SARAH ROSE KOST-COX LPC
Counselor (Professional)
16645 15 MILE RD STE B
CLINTON TWP, MI 48035
Macomb County (586) 213-5505

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 Mico's NPI number?

The NPI number for Blake Mico is 1932561065. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Blake Mico located?

Blake Mico practices at 16645 15 Mile Rd Ste B, Clinton Township, MI 48035. The listed phone number is (586) 213-5505.

What is Blake Mico'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 Mico was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.