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Active NPI 1669764155 Individual Practitioner Female Practitioner

M Lynette Blake , LPCC, NCC

Counselor - Professional • Ashland, KY

Professional Overview & Biography Verified Profile Summary

M Blake, LPCC, NCC is a registered healthcare professional specializing in Counselor - Professional in Ashland, KY. Practice services are available at 4000 SOUTHERN HILLS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 Southern Hills Drive

Ashland, KY 411029003

Telephone 6069224983
Fax 6063935613

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ashland, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
68 Specialists

Practicing in Ashland, KY (2199 Statewide)

Telehealth Adoption Rate
4.4% 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 KY 1091

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100326700 (KY)
Medicaid State Provider ID
0005355002 (WV)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Paul Vernier , PC

Counselor - Professional

NPI 1427203629
Katrina Kerns

Social Worker - Clinical

NPI 1548691108
Trena Penney

Counselor - Addiction (Substance Use Disorder)

NPI 1548838451
Ashlee Lykins

Counselor - Professional

NPI 1841734530
NPI 1902379308

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 21, 2019

Registered at 4000 SOUTHERN HILLS DRIVE, ASHLAND, KY 411029003 (Tel: 6069224983)

📍
Updated Business Mailing Address May 21, 2019

Registered at 4000 SOUTHERN HILLS DRIVE, ASHLAND, KY 411029003 (Tel: 6069224983)

👤
Provider Name / Credentials Updated May 21, 2019

Recorded as M BLAKE, LPCC, NCC

NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2015

Registered at 1212 BATH AVENUE SUITE 101, ASHLAND, KY 41101 (Tel: 6063935926)

📍
Updated Business Mailing Address June 04, 2015

Registered at 1212 BATH AVE STE 101, ASHLAND, KY 411019003 (Tel: 6063935926)

👤
Provider Name / Credentials Updated June 04, 2015

Recorded as M RATLIFF, LPCC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Counselor (License #1091 in KY)

🟢
Initial NPI Registration & Enumeration May 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669764155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2011
Last Update: May 21, 2019
Sole Proprietor: Yes

Mailing Address

4000 Southern Hills Drive

Ashland, KY 411029003

Phone: 6069224983

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

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