Blake Malloy
NPI 1033636519 · Mental Health Counselor · Maple Grove, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Malloy is a Mental Health Counselor provider in Maple Grove, MN (NPI 1033636519).
Provider details
- NPI number
- 1033636519
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2017-08-25
- Last updated
- 2017-08-25
Frequently asked questions
- What is Blake Malloy's NPI number?
- Blake Malloy's National Provider Identifier (NPI) is 1033636519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Malloy's specialty?
- Blake Malloy is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Blake Malloy located?
- Blake Malloy's practice location on file with NPPES is 13603 80th Cir N, Maple Grove, MN 55369-8961.
- What is Blake Malloy's phone number?
- The practice phone number listed in the NPPES registry for Blake Malloy is (763) 274-3120.
- Does Blake Malloy accept Medicare?
- Blake Malloy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Malloy's NPI active?
- Yes — Blake Malloy's NPI (1033636519) is active in the NPPES registry as of the last update on 2017-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.