EASTER SEALS BLAKE FOUNDATION (NPI# 1679847834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679847834 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS BLAKE FOUNDATION |
| Other Organization Name | THE BLAKE FOUNDATION |
| Practice Address |
320 S Convent Ave Tucson AZ 85701-2215 |
| Mailing Address |
332 S Convent Ave Tucson AZ 85701-2215 |
| Practice Telephone | 5206223933 |
| Practice Fax Number | 5206709221 |
| Mailing Telephone | 5206223933 |
| Mailing Fax Number | 5206709221 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | JEAN MILLEN (DIRECTOR) |
| Authorized Official Telephone | 5206223933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH3970 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| The Blake Foundation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1548781487 | Easter Seals Blake Foundation | Community/Behavioral Health | 7750 E Broadway Blvd Ste A100, Tucson, AZ 85710-3901 | 2017-06-30 |
| 1376967323 | Easter Seals Blake Foundation | Community/Behavioral Health | 1060 S 5th Ave, Yuma, AZ 85364-3823 | 2014-02-11 |
| 1932530797 | Easter Seals Blake Foundation | Community/Behavioral Health | 7756 E Broadway Blvd, Ste. A-100, Tucson, AZ 85710 | 2013-12-04 |
| 1104079714 | Easter Seals Blake Foundation | Community/Behavioral Health | 1938 W Thatcher Blvd, Safford, AZ 85546-3318 | 2008-10-28 |
| 1548356207 | Easter Seals Blake Foundation | Case Management | 5704 E. Grant Road, Tucson, AZ 85712 | 2006-10-04 |
| 1760906440 | Easter Seals Blake Foundation | Counselor | 310 S Meyer Ave, Tucson, AZ 85701-2207 | 2017-08-03 |
| 1164875969 | Easter Seals Blake Foundation | Clinic/Center | 288 N Ironwood Dr Ste 115, Apache Junction, AZ 85120-3830 | 2016-07-15 |
| 1194156125 | Easter Seals Blake Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 5626 E 2nd St, Tucson, AZ 85711-1415 | 2013-12-02 |
| 1821429853 | Easter Seals Blake Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 5752 E Waverly St, Tucson, AZ 85712-3739 | 2013-12-02 |
| Street Address |
320 S CONVENT AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
| 1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
| 1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
| 1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
| 1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
| 1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
| 1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
| 1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
| 1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| Find all providers in TUCSON | ||||
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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.