EASTER SEALS BLAKE FOUNDATION (NPI# 1760906440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760906440 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS BLAKE FOUNDATION |
| Practice Address |
310 S Meyer Ave Tucson AZ 85701-2207 |
| Mailing Address |
7750 E Broadway Blvd Ste A200 Tucson AZ 85710-3901 |
| Practice Telephone | 5206223933 |
| Practice Fax Number | 5206709221 |
| Mailing Telephone | 5203271529 |
| Mailing Fax Number | 5203271836 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | EMA MARTHA KAMMEYER (C.E.O.) |
| Authorized Official Telephone | 5203271529 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CSL8349 | AZ | Behavioral Health & Social Service Providers |
| 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 |
| 1679847834 | Easter Seals Blake Foundation | Community/Behavioral Health | 320 S Convent Ave, Tucson, AZ 85701-2215 | 2012-03-05 |
| 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 |
| 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 |
310 S MEYER AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605739 | Krista Leeann Tolo | Speech-Language Pathologist | 310 S Meyer Ave, Tucson, AZ 85701-2207 | 2006-09-29 |
| 1184026387 | Vidya Therapy Services | Speech-Language Pathologist | 310 S Meyer Ave, Tucson, AZ 85701-2207 | 2014-09-18 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841808 | Sara Diaz | Counselor | 3220 W Ina Rd Apt 19106, Tucson, AZ 85741-2173 | 2020-08-16 |
| 1326656927 | John H Shukwit | Counselor | 9041 E 32nd Pl, Tucson, AZ 85710-7923 | 2020-07-20 |
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1760090542 | Caila Lipovsky | Counselor | 3700 N Fairview Ave Apt 203, Tucson, AZ 85705-3472 | 2020-07-17 |
| 1720603343 | Crossing Arrows Counseling Services | Counselor | 921 S Craycroft Rd, Tucson, AZ 85711-7112 | 2020-06-09 |
| 1659993574 | Tucson Hope LLC | Counselor | 5700 E Pima St Ste C, Tucson, AZ 85712-5637 | 2020-05-13 |
| 1639799018 | Amanda Watercolor Golightly | Counselor | 2016 E Broadway Blvd, Tucson, AZ 85719-5936 | 2020-04-25 |
| 1922632371 | Richard Moon | Counselor | 2710 W Placita Mesa Alta, Tucson, AZ 85742-8736 | 2020-02-25 |
| 1184258659 | Small Steps In Wellness | Counselor | 1955 W Grant Rd Ste 125, Tucson, AZ 85745-1481 | 2020-02-24 |
| 1285266460 | Noreen O'shea | Counselor | 3230 N Craycroft Rd Apt 3, Tucson, AZ 85712-5246 | 2020-02-06 |
| 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.