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Deactivated NPI 1265086912 Deactivated / Inactive NPI Female Practitioner

Meghan Blake

Counselor • Keller, TX

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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, Meghan Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2019
NPI Deactivation Date March 05, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Meghan Blake was a registered Counselor practicing in Keller, TX. Throughout an active medical career spanning 5 years, Meghan Blake provided care at the practice location at 200 N RUFE SNOW DR STE 108D until profile deactivation on 2024-03-05.

Practice Location & Contact Primary Location

Practice Address

200 N Rufe Snow Dr Ste 108d

Keller, TX 762484238

Telephone 8175208544
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Keller, TX (3454 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

CMS Verified: 2026-01-09
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 89900

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Career & Practice History Timeline

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

13 Historical Events
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Updated Practice Location January 09, 2026

Registered at 200 N RUFE SNOW DR STE 108D, KELLER, TX 762484238 (Tel: 8175208544)

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Updated Business Mailing Address January 09, 2026

Registered at 1809 RIVERCHASE LN, JUSTIN, TX 762476751 (Tel: 8177337530)

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Updated Practice Location March 12, 2024

Registered at 4516 BOAT CLUB RD STE 106, FORT WORTH, TX 761357020 (Tel: 8172380106)

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Updated Business Mailing Address March 12, 2024

Registered at 4516 BOAT CLUB RD STE 106, FORT WORTH, TX 761357020 (Tel: 8172380106)

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Provider Name / Credentials Updated March 12, 2024

Recorded as MEGHAN BLAKE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2024

Counselor (License #89900 in TX)

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NPI Profile Deactivated March 05, 2024

Record deactivated on March 05, 2024

NPI Profile Active July 31, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 31, 2019

Registered at 2815 EXCHANGE BLVD STE 100, SOUTHLAKE, TX 760927515 (Tel: 8003450448)

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Updated Business Mailing Address July 31, 2019

Registered at 2815 EXCHANGE BLVD STE 100, SOUTHLAKE, TX 760927515 (Tel: 8003450448)

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Provider Name / Credentials Updated July 31, 2019

Recorded as MEGHAN BLAKE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Behavior Technician

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Initial NPI Registration & Enumeration July 31, 2019

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: 1265086912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2019
Last Update: January 09, 2026
Deactivation Date: March 05, 2024
Sole Proprietor: No

Mailing Address

1809 Riverchase Ln

Justin, TX 762476751

Phone: 8177337530

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.