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MR. DEREK MICHAEL BLAKE
NPI 1982880597
Counselor - Mental Health in Eugene, OR

Active since January 14, 2008
1790 W 11TH AVE, EUGENE, OR 97402(541) 868-0661 Get Directions Write a Review

NPPES record last updated: January 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Derek Michael Blake NPPES

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

MR. DEREK MICHAEL BLAKE (NPI 1982880597) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1982880597
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEREK MICHAEL BLAKE
Location Address1790 W 11TH AVEEugene, OR 97402-3758
Mailing Address1790 W 11th AveEugene, OR 97402-3758 · (541) 868-0661
Phone(541) 868-0661
Sole ProprietorNo
Enumeration DateJanuary 14, 2008
✔ NPI 1982880597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1790 W 11TH AVE, Eugene, OR 97402
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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.

MS. NORMA JEAN JAMES MSW
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MARY JACQUE B.S.
Counselor (Mental Health)
1790 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 686-1262
JOSIE MILLER QMHA
Counselor (Mental Health)
1790 W 11TH AVE, SUITE A
EUGENE, OR 97402
Lane County (541) 868-0661
ELIZABETH ANNE BURNETT
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MICHELLE KAYLEE SANDERS
Counselor (Mental Health)
1790 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 868-2688
MRS. MARISSA JADE LEUALLEN
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
MS. PAULA FARQUHAR-STOUT MA, MED CADC III
Counselor (Mental Health)
1790 W 11TH AVE, SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262
PENNY ROXANN LIEBL
Counselor (Mental Health)
1790 W 11TH AVE, SHELTER CARE SUITE 290
EUGENE, OR 97402
Lane County (541) 686-1262

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 Derek Blake's NPI number?

The NPI number for Derek Blake is 1982880597. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Where is Derek Blake located?

Derek Blake practices at 1790 W 11th Ave, Eugene, OR 97402. The listed phone number is (541) 868-0661.

What is Derek 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 Derek Blake was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.