IndividualActive
Tyschal Blake
NPI 1427779016 · Counselor · Portland, OR
Provider details
- NPI number
- 1427779016
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 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
1904 Se Division St
Portland, OR 97202-1146
Phone: (503) 517-8663
Street-level locationGet directions
Mailing address
1904 Se Division St
Portland, OR 97202-1146
Additional practice locations (2)
- 1200 Concord Ave Ste 100Concord, CA 94520-4969Phone: (877) 200-5886
- 5847 Ne 122nd Ave Ste 200Portland, OR 97230-1079Phone: (971) 339-7040
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2023-09-18
- Certified
- 2023-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.