Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699890533 Individual Practitioner Male Practitioner

Matthew Presnell Blakeley , MFT INTERN

Counselor - Professional • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Matthew Blakeley, MFT INTERN is a registered healthcare professional specializing in Counselor - Professional in Modesto, CA. Practice services are available at 1100 KANSAS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Kansas Ave

Modesto, CA 953511596

Telephone 2095588884
Fax 2095588888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
265 Specialists

Practicing in Modesto, CA (4040 Statewide)

Telehealth Adoption Rate
0.0% 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

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
Katrina Stoughtenborough , MSW

Counselor - Professional

NPI 1366561912

Master of Social Work

Angie Prieto

Adult Companion

NPI 1447387378
Karen Mitchell , LCSW

Social Worker - Clinical

NPI 1578789061

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 KANSAS AVE, MODESTO, CA 953511596 (Tel: 2095588884)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 KANSAS AVE, MODESTO, CA 953511596 (Tel: 2095588884)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MATTHEW BLAKELEY, M.F.T. INTERN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration March 20, 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: 1699890533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: January 03, 2022
Sole Proprietor: No

Mailing Address

1100 Kansas Ave

Modesto, CA 953511596

Phone: 2095588884

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.