Spencer Thomas Blake
Counselor, Addiction (Substance Use Disorder) in Ames, IA. Individual provider (NPI-1).
NPI number1346909991
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1346909991
- Entity type
- Individual (NPI-1)
- Name
- Spencer Thomas Blake
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2021
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | t20064 | IA | Yes |
Practice location
804 Kellogg AveAmes, IA 50010-6234
Phone 515-233-4930
Mailing address
420 Kellogg AveAmes, IA 50010-6226
Phone 515-233-3141
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Addiction (Substance Use Disorder) Counselor providers in Ames · All 1,531 providers in Ames
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