Robert Philp Blake , LPC #C3517
Counselor - Professional • Brookings, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Blake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Robert Blake, LPC #C3517 was a registered Counselor - Professional practicing in Brookings, OR. Throughout an active medical career spanning 10 years, Robert Blake provided care at the practice location at 603 HEMLOCK ST until profile deactivation on 2026-06-04.
Practice Location & Contact Primary Location
603 Hemlock St
Suite 2b
Brookings, OR 97415
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Brookings, OR
Practicing in Brookings, OR (2601 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Psychiatric/Mental Health
Family Nurse Practitioner
Psychologist
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 04, 2026
NPI status registered as active in NPPES database
Registered at 603 HEMLOCK ST, SUITE 2B, BROOKINGS, OR 97415 (Tel: 7072181758)
Registered at P O BOX 175, FORT DICK, CA 95538 (Tel: 7072181758)
Recorded as ROBERT BLAKE, LPC #C3517
Counselor (License #LPC #C3517 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
P O Box 175
Fort Dick, CA 95538
Phone: 7072181758
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