IndividualActive
Edward Blake
NPI 1124435227 · Counselor · Petaluma, CA
Edward Blake is a Counselor provider in Petaluma, CA (NPI 1124435227).
Provider details
- NPI number
- 1124435227
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
365 Kuck Ln
Petaluma, CA 94952-9606
Phone: (707) 795-6954
Street-level locationGet directions
Mailing address
365 Kuck Ln
Petaluma, CA 94952-9606
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2014-07-21
Frequently asked questions
- What is Edward Blake's NPI number?
- Edward Blake's National Provider Identifier (NPI) is 1124435227, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Blake's specialty?
- Edward Blake is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Edward Blake located?
- Edward Blake's practice location on file with NPPES is 365 Kuck Ln, Petaluma, CA 94952-9606.
- What is Edward Blake's phone number?
- The practice phone number listed in the NPPES registry for Edward Blake is (707) 795-6954.
- Is Edward Blake's NPI active?
- Yes — Edward Blake's NPI (1124435227) is active in the NPPES registry as of the last update on 2014-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.