MS. JESSICA MICHELLE BLAKE (NPI# 1346322898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346322898 |
| Entity Type | Individual |
| Full Name | MS. JESSICA MICHELLE BLAKE |
| Credential | M.F.T. |
| Practice Address |
300 Sunnyhills Dr San Anselmo CA 94960-1909 |
| Practice Telephone | 4154573200 |
| Practice Fax Number | 4154562897 |
| Mailing Telephone | 4154573200 |
| Mailing Fax Number | 4154562897 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC34729 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898887 | Jessica Rose Blake | Physical Therapist | Usahc Vicenza, Apo, AE 09630 | 2019-12-17 |
| 1770057085 | Jessica Blake | Dietitian, Registered | 26905 Ne Virginia St, Duvall, WA 98019-8473 | 2019-01-20 |
| 1821501602 | Jessica Blake | Speech-Language Pathologist | 9000 College St, Collinsville, IL 62234-1701 | 2017-11-15 |
| 1609406446 | Jessica Anne Blake | Nurse Practitioner | 11949 Q St, Omaha, NE 68137-3503 | 2020-01-21 |
| 1932576709 | Jessica Blake | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2015-08-28 |
| 1477955755 | Jessica Blake | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223 | 2014-09-18 |
| 1013142991 | Jessica Blake | Social Worker | 3100 E Ave Nw, Suite 101, Cedar Rapids, IA 52405-2962 | 2009-05-21 |
| 1699940221 | Jessica Nicole Blake | Speech-Language Pathologist | 19670 State Road 120, Bristol, IN 46507-9131 | 2008-04-24 |
| 1033394226 | Jessica Ann Banet Blake | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-1886 | 2008-01-07 |
| Street Address |
300 SUNNYHILLS DR |
| City | SAN ANSELMO |
| State | CA |
| Zip Code | 94960-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646449 | Emily Lewis | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2019-02-28 |
| 1497211502 | Grant Finn | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2019-02-13 |
| 1255802856 | Burrell Speights | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-12-09 |
| 1952881914 | Ieshia Rhonda Washington | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-08-20 |
| 1134608987 | Stephanie Burns Burns | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-08-13 |
| 1619456191 | Kathleen Marie Nash | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-08-07 |
| 1649778135 | Timothy John Norman | Marriage & Family Therapist | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-01-30 |
| 1154839728 | Alexis Spalding | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-01-17 |
| 1235648809 | Kevin Schiltz | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2017-09-26 |
| 1851800528 | Maxwell Kreger | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568987261 | Janna Alene Bennett | Nurse Practitioner | 67 Yolanda Dr, San Anselmo, CA 94960 | 2017-08-03 |
| 1144750720 | Jill M Cochrane | Speech-Language Pathologist | 394 Redwood Rd, San Anselmo, CA 94960 | 2017-06-15 |
| 1871952655 | Christa Santangelo Phd | Community/Behavioral Health | 130 Greenfield Avenue, San Anselmo, CA 94960 | 2016-02-22 |
| 1295856177 | Joseph Odom | Acupuncturist | 22 Belle Avenue, #8, San Anselmo, CA 94960 | 2007-04-02 |
| 1720133648 | Carol Elizabeth Fabric | Marriage & Family Therapist | 21 Encina Place, San Anselmo, CA 94960 | 2007-01-23 |
| 1053472134 | Pamela Jankelow | Acupuncturist | 412 Redhill Ave, San Anselmo, CA 94960 | 2006-12-13 |
| 1023182631 | Heather L. Murphy | Counselor | 300 Sunny Hills Dr., San Anselmo, CA 94960 | 2006-11-17 |
| 1720164684 | Laurie J. Weiss | Marriage & Family Therapist | 300 Sunny Hills Dr, San Anselmo, CA 94960 | 2006-10-31 |
| 1295836708 | Pearlyn Goodman-herrick | Naturopath | 1429 Butterfield Rd, San Anselmo, CA 94960 | 2006-09-26 |
| 1518999010 | Neurology Clinic of Marin, A Medical Corporation | Psychiatry & Neurology | 50 Red Hill Ave, San Anselmo, CA 94960 | 2006-07-07 |
| Find all providers in zip 94960 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356703441 | Louis Armstrong-dangles | Marriage & Family Therapist | 74 Madrone Ave, San Anselmo, CA 94960-2026 | 2016-03-28 |
| 1366769002 | Gabriel F Rabu | Marriage & Family Therapist | 38 Ash Ave, San Anselmo, CA 94960-1803 | 2010-04-20 |
| 1922242437 | Kate E Brennan | Marriage & Family Therapist | 558 San Anselmo Ave, San Anselmo, CA 94960-2621 | 2009-04-28 |
| 1184880601 | Keri Kathleen Olrich | Marriage & Family Therapist | 2 Irving Drive, San Anselmo, CA 94960-1003 | 2008-08-04 |
| 1053570366 | Gabrielle M. Miranda | Marriage & Family Therapist | 558 San Anselmo Ave Ste C, San Anselmo, CA 94960-2621 | 2008-06-03 |
| 1205040102 | Alma Dunstan-mcdaniel | Marriage & Family Therapist | 44 Ash Ave., San Anselmo, CA 94960-1480 | 2007-05-09 |
| 1306067483 | Ada Rosalyn Smith | Marriage & Family Therapist | 230 Floribel Ave, San Anselmo, CA 94960-2262 | 2007-05-02 |
| 1720133648 | Carol Elizabeth Fabric | Marriage & Family Therapist | 21 Encina Place, San Anselmo, CA 94960 | 2007-01-23 |
| 1376606913 | Ted Stewart Cousens | Marriage & Family Therapist | 130 Greenfield Ave Ste A, San Anselmo, CA 94960-2451 | 2006-12-18 |
| 1376622555 | Joyce Elaine Thomson | Marriage & Family Therapist | 15 Austin Ave, San Anselmo, CA 94960-2924 | 2006-11-06 |
| Find all providers in SAN ANSELMO | ||||
| City | SAN ANSELMO |
| Zip Code | 94960 |
Please comment or provide details below to improve the information on MS. JESSICA MICHELLE BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.