RENA R. BLAKE (NPI# 1134692718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134692718 |
| Entity Type | Individual |
| Full Name | RENA R. BLAKE |
| Practice Address |
84 Broadway Richmond CA 94804-1910 |
| Practice Telephone | 5102317812 |
| Practice Fax Number | 5102317810 |
| Mailing Telephone | 5102317812 |
| Mailing Fax Number | 5102317810 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
84 BROADWAY |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845429 | Carolina Dejesus Martinez | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2020-09-14 |
| 1679188866 | Julia Margarita Aguirre-garcia | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2020-09-14 |
| 1700422631 | Garice Paul Tate | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-11-26 |
| 1689210502 | Lovely Rashida Groves | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-11-26 |
| 1104462027 | Lorena Yesenia Perez-hernandez | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-11-26 |
| 1750927679 | Jacqueline Danielle Bonds | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-11-26 |
| 1194361022 | Rodney Dewayne Brown | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-11-26 |
| 1013480599 | Jose Samuel Martinez | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2019-01-07 |
| 1164810404 | Harriet Curtis-boles | Marriage & Family Therapist | 84 Broadway, Richmond, CA 94804 | 2015-01-08 |
| 1629328158 | Benny Benjamin Pavlatos | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| Find all providers in RICHMOND | ||||
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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.