Edward Blake
Edward Blake is a Counselor provider (Counselor) practicing in Petaluma, CA, registered in the NPPES registry with NPI 1124435227 since 2014.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124435227 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Edward Blake |
| Sex | Male |
| Practice address | 365 KUCK LN, Petaluma, CA, 94952 |
| Phone | 7077956954 |
| Enumeration date | 2014-07-21 |
| Last updated in NPPES | 2014-07-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101Y00000X | Counselor | Primary | — | — |
Copy-ready billing details
Provider: Edward Blake NPI: 1124435227 Taxonomy: 101Y00000X (Counselor) Address: 365 KUCK LN, Petaluma, CA, 94952
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790859775 | Susie Shin-Calandrella | Individual | Child & Adolescent Psychiatry Physician | Petaluma, CA |
| 1891817466 | Sam Hustis | Individual | Case Manager/Care Coordinator | Petaluma, CA |
| 1528294386 | Lenka Schroeder | Individual | Marriage & Family Therapist | Petaluma, CA |
| 1346515566 | Mary Hess | Individual | Marriage & Family Therapist | Petaluma, CA |
| 1609139039 | John Schneider | Individual | Marriage & Family Therapist | Petaluma, CA |
| 1326470899 | Anika Lindemuth | Individual | Marriage & Family Therapist | Petaluma, CA |
| 1053748632 | Natalie Conrad | Individual | Psychologist | Petaluma, CA |
| 1720415300 | Matt Dalsing | Individual | Marriage & Family Therapist | Petaluma, CA |
Verify this record
Cross-check NPI 1124435227 against the authoritative CMS record: view Edward Blake on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-21.