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DR. EDDIE LEE BLAKES JR. DBH, LIAC
NPI 1992311534
Counselor - Mental Health in Mesa, AZ

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
2266 S DOBSON RD STE 200, MESA, AZ 85202(480) 521-5289(480) 386-9910 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eddie Lee Blakes Jr. Dbh, Liac NPPES

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

DR. EDDIE LEE BLAKES JR. DBH, LIAC (NPI 1992311534) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LIAC-155298) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992311534
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. EDDIE LEE BLAKES JR.Credential: DBH, LIAC
Location Address2266 S DOBSON RD STE 200Mesa, AZ 85202-6412
Mailing Address2266 S Dobson Rd Ste 200Mesa, AZ 85202-6412 · (480) 521-5289 · Fax (480) 386-9910
Phone(480) 521-5289
Fax(480) 386-9910
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2020
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1992311534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LIAC-155298
Also ListedCounselorTaxonomy 101Y00000X · License LIAC-155298 (AZ)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LIAC-155298 (AZ)
2266 S DOBSON RD STE 200, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eddie Lee Blakes Jr. Dbh, Liac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234652819
PECOS Enrollment IDI20251013003813
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STILLPOINT WELLNESS, LLC
Clinic/Center
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 280-1996
BREANNE GALDAMEZ
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090
MCKENNA SCHNELL
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090
KAYLA DARBY-INCE RBT
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090
XENA THORNTON
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (720) 961-3764
CHELLIE WRAY
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090
DENISE KESARIS
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090
DIANA SIORDIA RBT
Behavior Technician
2266 S DOBSON RD STE 200
MESA, AZ 85202
Maricopa County (480) 757-8090

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 Eddie Blakes's NPI number?

The NPI number for Eddie Blakes is 1992311534. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Eddie Blakes located?

Eddie Blakes practices at 2266 S Dobson Rd Ste 200, Mesa, AZ 85202. The listed phone number is (480) 521-5289.

What is Eddie Blakes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eddie Blakes enrolled in Medicare?

Yes. Eddie Blakes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eddie Blakes accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Eddie Blakes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eddie Blakes was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.