IndividualActive
Brenda Blake-Johnson
NPI 1003408808 · Professional Counselor · Phoenix, AZ
Provider details
- NPI number
- 1003408808
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23246 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8410 W Thomas Rd Ste 116
Phoenix, AZ 85037-3356
Phone: (602) 258-6797
Street-level locationGet directions
Mailing address
3877 N 7th St Ste 400
Phoenix, AZ 85014-5061
Additional practice locations (1)
- 2423 W Dunlap Ave Ste 140Phoenix, AZ 85021-5818Phone: (602) 279-5351Fax: (602) 279-5361
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.