TERALD BLAKEY (NPI# 1598960064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598960064 |
| Entity Type | Individual |
| Full Name | TERALD BLAKEY |
| Practice Address |
308 E 21st Ave Gary IN 46407-2618 |
| Practice Telephone | 2198861320 |
| Practice Fax Number | 2198861319 |
| Mailing Telephone | 2198861320 |
| Mailing Fax Number | 2198861319 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
308 E 21ST AVE |
| City | GARY |
| State | IN |
| Zip Code | 46407-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1376974246 | Willowglen Academy-in, Inc. | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2013-12-03 |
| 1023339587 | Tashena R Lollis | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1194046698 | Bunnie J Fleming | Licensed Practical Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1750602355 | Kecia Marie Blakely | Psychologist | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1790006302 | Darlene Roseta Tolbert | Registered Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1073834875 | Marilyn M. Caruthers | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-15 |
| 1073788113 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2008-04-29 |
| 1730384207 | Alexis Nelson | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| 1720283278 | Pamela Gabor | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1891930913 | Angela Juanita Anderson | General Practice | 2353 Madison Street, Gary, IN 46407 | 2008-12-03 |
| 1548470537 | Rae Emerick | Speech-Language Pathologist | 2350 Taft Street, Gary, IN 46407 | 2007-05-22 |
| 1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
| 1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
| 1477042505 | Ileana Green | Nurse Practitioner | 1400 Broadway, Gary, IN 46407 | 2018-05-03 |
| 1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
| 1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
| Find all providers in zip 46407 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982011482 | Lovea Smith | Counselor | 333 Jackson St, Gary, IN 46402-1139 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049926 | Lindsay Blair Charles | Counselor | 100 Saw Mill Rd Ste 3300, Lafayette, IN 47905-5598 | 2020-10-07 |
| 1063024347 | Kimberly Nolan | Counselor | 1236 Monteray Cir, Lawrenceburg, IN 47025-9213 | 2020-08-19 |
| 1477171429 | Karissa Fails Rumsey | Counselor | 11109 Lexi Ln, Fishers, IN 46040-9117 | 2020-07-07 |
| 1255960795 | Ramzi Y. Skaik | Counselor | 303 E Court Ave Ste 434, Jeffersonville, IN 47130-9998 | 2020-04-06 |
| 1649808163 | Nicole Bebiak | Counselor | 7595 Royal Fern Ln, Noblesville, IN 46062-6617 | 2020-03-30 |
| 1497398762 | Kylie Rogalla | Counselor | 22355 Applewood Ln, South Bend, IN 46628-9708 | 2019-10-19 |
| 1023669868 | Karen Fischer | Counselor | 5031 Knollfield Pl, Fort Wayne, IN 46809-9521 | 2019-09-23 |
| 1639729353 | Joel Harris | Counselor | 351 Monroe St, Huntington, IN 46750-3262 | 2019-09-14 |
| 1396395356 | Marla L Godette | Counselor | 11959 Adams Rd, Granger, IN 46530-7519 | 2019-09-12 |
| 1477116986 | Angela M Fisher | Counselor | 5109 N College Ave, Indianapolis, IN 46205-1135 | 2019-04-19 |
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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.