Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124160106 Individual Practitioner Female Practitioner

Donna H Blake , PSYCHOTHERAPIST

Counselor - Professional • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Donna Blake, PSYCHOTHERAPIST is a registered healthcare professional specializing in Counselor - Professional in Tucson, AZ. Practice services are available at 5210 E PIMA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5210 E Pima St
Suite 200

Tucson, AZ 857123664

Telephone 5207959313
Fax 5207775768
Associated Practice Facility / Clinic
🏢 Karl L Sachs Facility NPI 1699916312

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
501 Specialists

Practicing in Tucson, AZ (3051 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC2202

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID National Provider Identifier
1124160106 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Peter Woods , MA

Counselor - Mental Health

NPI 1003954710

Master of Arts

NPI 1043320963

Licensed Master Social Worker

Chuck Farrell , LCSW

Social Worker - Clinical

NPI 1043368327

Licensed Clinical Social Worker

Nancy Williams , LCSW

Social Worker - Clinical

NPI 1134106099

Licensed Clinical Social Worker

NPI 1194976993

Licensed Professional Counselor, National Certified Counselor, CDVC, CSGC

Gordon Bathel , LCSW

Social Worker - Clinical

NPI 1215959192

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2013

Registered at 5210 E PIMA ST, SUITE 200, TUCSON, AZ 857123664 (Tel: 5207959313)

📍
Updated Business Mailing Address April 06, 2013

Registered at 5210 E PIMA ST, SUITE 200, TUCSON, AZ 857123664 (Tel: 5207959313)

👤
Provider Name / Credentials Updated April 06, 2013

Recorded as DONNA BLAKE, PSYCHOTHERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2013

Counselor (License #LPC2202 in AZ)

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124160106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: April 06, 2013
Sole Proprietor: Yes

Mailing Address

5210 E Pima St, Suite 200

Tucson, AZ 857123664

Phone: 5207959313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.