MS. M LYNETTE BLAKE (NPI# 1669764155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669764155 |
| Entity Type | Individual |
| Full Name | MS. M LYNETTE BLAKE |
| Credential | LPCC, NCC |
| Practice Address |
4000 Southern Hills Drive Ashland KY 41102-9003 |
| Practice Telephone | 6069224983 |
| Practice Fax Number | 6063935613 |
| Mailing Telephone | 6069224983 |
| Mailing Fax Number | 6063935613 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1091 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005355002 | 05 | |
| KY | 7100326700 | 05 |
| Street Address |
4000 SOUTHERN HILLS DRIVE |
| City | ASHLAND |
| State | KY |
| Zip Code | 41102-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145807 | Logan Kevin Payton | Speech-Language Pathologist | 2801 Adams Avenue, Ashland, KY 41102 | 2020-08-17 |
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1235660069 | Brittni Parsons | Social Worker | 6417 State Route 60, Ashland, KY 41102 | 2017-03-23 |
| 1013450212 | A Center 4 Change | Counselor | 5900 Us Highway 60 West, Suite B, Ashland, KY 41102 | 2016-11-21 |
| 1437600814 | Ashland Hospital Corporation | Physician Assistant | 3215 South 29th St, Ashland, KY 41102 | 2016-10-20 |
| 1174074553 | Ashland Hospital Corporation | Physician Assistant | 1100 Bob Mccullough Dr, Ashland, KY 41102 | 2016-10-20 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| 1326465147 | Erik Mullins | Physical Therapy Assistant | 2800 Pleasant Avenue, Ashland, KY 41102 | 2014-03-19 |
| 1508095639 | Kentucky Medical Logistics Inc | Ambulance | 425 22nd Street, Ashland, KY 41102 | 2009-07-10 |
| 1184872608 | Carolyn Jayne Estepp | Nurse Practitioner | 12470 Us 60, Ashland, KY 41102 | 2008-09-09 |
| Find all providers in zip 41102 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1144871070 | Pamela Cancel | Counselor | 1000 Benson Way Ste 204, Ashland, OR 97520-9564 | 2019-09-23 |
| 1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
| 1093202186 | Carolyn Ligon Palmore | Counselor | 201 N Washington Hwy Ste 201, Ashland, VA 23005 | 2018-04-16 |
| 1902319577 | Alison Lee Nightingale | Counselor | 1135 Old Highway 99 S, Ashland, OR 97520-9719 | 2017-11-06 |
| 1396284394 | William Brian Cook | Counselor | 1212 Bath Ave, 8th Floor, Ashland, KY 41101-5422 | 2017-02-23 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1760939011 | Elizabeth Diane Hocker | Counselor | 203 Johnson Ct, Ashland, MO 65010-9473 | 2016-09-03 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| Find all providers in ASHLAND | ||||
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| 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.