BOBBY BLAKE


Address: 875 W Moreno Ave, Colorado Springs, CO 80905-1731
Phone: 7195726200

BOBBY BLAKE (NPI# 1528212883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528212883
Entity Type Individual
Full Name BOBBY BLAKE
Practice Address 875 W Moreno Ave
Colorado Springs
CO 80905-1731
Mailing Address 220 Ruskin Dr
Colorado Springs
CO 80910-2522
Practice Telephone 7195726200
Mailing Telephone 7195726150
Enumeration Date 2008-11-12
Last Update Date 2008-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 875 W MORENO AVE
City COLORADO SPRINGS
State CO
Zip Code 80905-1731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760474944 Helen Hwei Ling Lin Psychiatry & Neurology 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2005-08-16
1053934562 Jessica Strickland Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-05-19
1427681303 Christin Robin Redfield Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-02-19
1093345753 Consuelo Mockerman Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-01-22
1376188847 Aspenpointe Inc Dba Health Services Clinic/Center 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-11-08
1629635719 Jami Gonzales Nurse Practitioner 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-05-23
1275094328 John Favara Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-29
1699236869 Rebecca Nan Mccay Registered Nurse 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-28
1346709763 Hayley Greeno Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-15
1245703784 Misty Dorak Registered Nurse 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710524137 Julie Esther Ayaad Nurse Practitioner 1427 W Rio Grande, Colorado Springs, CO 80905 2019-12-04
1437676970 Cara Boss Physical Therapy Assistant 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 2017-08-25
1720537509 Rhianon Leigh Davis Physical Therapy Assistant 810 Arcturus Drive, Colorado Springs, CO 80905 2016-09-22
1861878639 Melissa Bernstein-linan Counselor 1301 S 8th St Ste 200, Colorado Springs, CO 80905 2015-08-04
1376973669 Kierstie Cameron Counselor 875 W. Moreno Ave, Colorado Springs, CO 80905 2013-11-22
1215294301 Nancy J. Beach Counselor 1355 S 8th St Ste 206, Colorado Springs, CO 80905 2012-04-13
1699096107 Hinds' Feet Adventures Counselor 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 2010-06-18
1396067310 Pinnacle Family Medicine, Pllc Family Medicine 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 2010-02-17
1710154018 Amy Lee Moore Counselor 875 W. Moreno, Colorado Springs, CO 80905 2008-05-15
1386786598 Pia Hillevi Schalin Family Medicine 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 2007-02-13
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891304788 Charity Mills Counselor 7255 Churchwood Cir, Colorado Springs, CO 80918-6333 2020-07-27
1598399537 Matthews-vu Medical Group, P.C. Counselor 629 N. Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 2020-02-28
1861026809 Matthews-vu Medical Group, P.C. Counselor 4150 E. Woodmen Rd., Suite 100, Colorado Springs, CO 80920-8042 2020-02-28
1982241741 James Beauchamp Counselor 2720 E Yampa St Ste 2a, Colorado Springs, CO 80909-5061 2019-11-28
1598300394 Eric L Peterson Counselor 4570 Hilton Pwky, Colorado Springs, CO 80907 2019-11-15
1003451303 Trinity Moses Counselor 4521 Sierra Rica Rd, Colorado Springs, CO 80911-3893 2019-11-10
1023652567 Rebecca Stauffer Counselor 25 N Wahsatch Ave Ste 204, Colorado Springs, CO 80903-3400 2019-10-28
1780241083 Lindsay Afton Barker Counselor Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 2019-05-22
1063076321 Octavia Cormier Counselor 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 2019-04-23
1740742022 Andrea Corrie Akins Counselor 2060 Jet Wing Drive, Colorado Springs, CO 80916 2019-04-04
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80905

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Dataset Information

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.

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