JILL K BLAKE (NPI# 1215207402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215207402 |
| Entity Type | Individual |
| Full Name | JILL K BLAKE |
| Credential | LSCSW |
| Practice Address |
1412 N 2nd St Atchison KS 66002-1203 |
| Practice Telephone | 9133674879 |
| Practice Fax Number | 9133670240 |
| Mailing Telephone | 9133674879 |
| Mailing Fax Number | 9133670240 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 7270 | KS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4907 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200751030A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Pennsylvania Ave, Holton, KS 664361859 | 7853642903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508018896 | Jill Ann Blake | Nurse Practitioner | 3771 Robert C. Byrd Drive, Beckley, WV 25801 | 2008-10-17 |
| 1447601133 | Jill Blake | Counselor | 3500 W 4th St, Sioux City, IA 51103-3203 | 2016-06-24 |
| 1407240435 | Jill Blake | Licensed Practical Nurse | 502 Student Health Ctr, University Park, PA 16802-2129 | 2015-03-27 |
| 1235485699 | Jill K Blake | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2012-08-03 |
| Street Address |
1412 N 2ND ST |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570976 | Kristy Kunkel | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2006-03-08 |
| 1801410873 | Jordan Hummelgard | Dentist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2020-06-04 |
| 1245739127 | Hollie Marie Williams | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2018-02-07 |
| 1164938122 | Rachel G Nelson | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2017-12-28 |
| 1609221803 | Tara Ann Fields | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2016-04-26 |
| 1417329129 | Sarah Jo Mata | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2015-10-21 |
| 1598105470 | Elizabeth Lynn Gilbert | Psychologist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-06-25 |
| 1700123361 | Melissa June Wolfe | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-01-15 |
| 1407108335 | Atchison Community Health Clinic, Inc. | Clinic/Center | 1412 N 2nd St, Atchison, KS 66002-1203 | 2012-10-02 |
| 1538370291 | Jacqulene Harris | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570976 | Kristy Kunkel | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2006-03-08 |
| 1164938122 | Rachel G Nelson | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2017-12-28 |
| 1609221803 | Tara Ann Fields | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2016-04-26 |
| 1528386372 | Kelly Sue Dickinson | Social Worker | 201 Main St, Suite 100, Atchison, KS 66002-2838 | 2010-05-04 |
| 1821156274 | Janette Rose Miller | Social Worker | 1301 N 2nd St, Atchison, KS 66002-1202 | 2006-12-05 |
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|---|---|---|---|---|
| 1548869241 | Dahlia Counseling Services, LLC | Social Worker | 719 Massachusetts St Ste 112, Lawrence, KS 66044-2345 | 2020-10-22 |
| 1932708815 | Creative Solutions Consulting and Advocacy LLC | Social Worker | 8407 W 97th Ter, Overland Park, KS 66212-3341 | 2020-10-21 |
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1265031579 | Bridgette Herrin Mavec | Social Worker | 7830 Caenen St, Lenexa, KS 66216-3326 | 2020-10-19 |
| 1598363665 | Tina M Clark | Social Worker | 7150 Millbrook St, Shawnee, KS 66218-9235 | 2020-10-12 |
| 1174130579 | Timberlake Counseling | Social Worker | 6534 Sw 24th Ct, Topeka, KS 66614-5607 | 2020-09-29 |
| 1265048714 | Eric Matthew Schoenecker | Social Worker | 1906 Main St Ste 112, Parsons, KS 67357-3392 | 2020-09-21 |
| 1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
| 1467062836 | Abundant Life Counseling | Social Worker | 2445 Sw Wanamaker Rd Ste 204, Topeka, KS 66614-5470 | 2020-07-31 |
| 1902424989 | Mistie Mcreynolds | Social Worker | 1435 E Penrose Ln, Olathe, KS 66062-1709 | 2020-07-07 |
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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.