MS. KATHERINE JOAN BLAKLEY (NPI# 1811020563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811020563 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE JOAN BLAKLEY |
| Practice Address |
13929 Harper Ave Detroit MI 48213-3672 |
| Mailing Address |
21370 Ridgedale St Oak Park MI 48237-2708 |
| Practice Telephone | 3133710055 |
| Practice Fax Number | 3133711409 |
| Mailing Telephone | 3134783901 |
| Mailing Fax Number | 2485421533 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
13929 HARPER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568595221 | Jeanett Dave | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2007-03-13 |
| 1326686130 | Antranese Lashawn Cooper | Licensed Practical Nurse | 13929 Harper Ave, Detroit, MI 48213-3672 | 2019-12-12 |
| 1679039853 | Rachel Adellita Sortor | Licensed Practical Nurse | 13929 Harper Ave, Detroit, MI 48213-3672 | 2019-02-13 |
| 1164902417 | Andrea Nicole Steinbach | Registered Nurse | 13929 Harper Ave, Detroit, MI 48213-3672 | 2018-08-16 |
| 1992230866 | Metro East Drug Treatment | Community/Behavioral Health | 13929 Harper Ave, Detroit, MI 48213-3672 | 2017-04-27 |
| 1851770101 | Glenda Laster | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2015-05-20 |
| 1891188579 | Edmund Waldon | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2015-03-05 |
| 1194121343 | Nicole Kane | Licensed Practical Nurse | 13929 Harper Ave, Detroit, MI 48213-3672 | 2014-11-17 |
| 1295131423 | Patricia Neeley | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2014-11-17 |
| 1164828323 | Virgil Marshll II | Counselor | 13929 Harper Ave, Detroit, MI 48213-3672 | 2014-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| Find all providers in DETROIT | ||||
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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.