BRENDA REBECCA BLAKE
NPI 1285243436
Counselor - Mental Health in Salem, OR

NPI Status: Active since July 23, 2020

Contact Information

3876 BEVERLY AVE NE BLDG G
SALEM, OR
ZIP 97305
Phone: (503) 763-5734

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  • Individual
  • Female
  • Counselor
  • Mental Health

About BRENDA BLAKE

This page provides the complete NPI Profile along with additional information for Brenda Blake, a provider established in Salem, Oregon with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1285243436 assigned on July 2020. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1285243436
Provider Name
BRENDA REBECCA BLAKE
Gender
Female
Entity Type
Individual
Location Address
3876 BEVERLY AVE NE BLDG G SALEM, OR 97305
Location Phone
(503) 763-5734
Mailing Address
3867 WOLVERINE ST NE BLDG F SALEM, OR 97305
Mailing Phone
(503) 763-5734
Is Sole Proprietor?
No
Enumeration Date
07-23-2020
Last Update Date
06-23-2022
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A mental health counselor like Brenda Blake provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1285243436MEDICAID (05)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285243436
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216544646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 4 + 6 + 4 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1285243436 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801317789 MARIDEE TA'TIERRA TUDELA
Individual
Peer Specialist3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 763-5735
1396254215 DANA MORRIS
Individual
Social Worker3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(971) 719-0202
1407368285 TOREY JARRETT
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 373-0348
1689946261 REBEKAH WILCOX
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 540-2166
1154867471MS. ERIN MONROE BA, BS, PSS
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 540-2192
1750872446 FERNANDO RINCON MATA
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 361-2724
1336630730 JENNIFER LOMELI
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 508-9203
1336500800 ELIZABETH PERKINS
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 361-2767
1528626330 MICHAEL KELLY MARTIN
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4506
1215596093 SHAYLA MICHELE RICHARDSON
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4555
1619343613 ALEXIA SOSA-GUTIERREZ
Individual
Peer Specialist3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4531
1841814746 MADISON ANNE DULANY
Individual
Peer Specialist3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 588-5352
1396360863 RACHEL ROSE MCCALL
Individual
Peer Specialist3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4536
1881284537 QUENTIN NORTHCROSS QMHP
Individual
Counselor (Mental Health)3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4536
1760059257MRS. ALYSON NICOLE STECKLEY
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4536
1669137899 ANDREW WHITEMAN
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 576-4536
1528719457 ADRIENNE M GREER
Individual
Counselor (Mental Health)3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(037) 635-7305
1346757911 ROSA M NORIEGA
Individual
Case Manager/Care Coordinator3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 361-2702
1396926895 NICHOLAS JAMES STROUD BS
Individual
Social Worker3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 361-2724
1629508627 JUSTIN JAMES DELORETTO MSW, QMHP
Individual
Social Worker3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305
(503) 585-4977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285243436, enumerated in the NPI registry as an "individual" on July 23, 2020

The provider is located at 3876 Beverly Ave Ne Bldg G Salem, Or 97305 and the phone number is (503) 763-5734

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.