Della Rea Blake, M.ED, LADC 1
NPI 1639935240ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Springfield, MA
Counselor, Addiction (Substance Use Disorder) (M.ED, LADC 1) in Springfield, Massachusetts, licensed in MA, with an NPI issued in February 2024. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1639935240 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED, LADC 1 |
| Sole proprietor | Yes |
| NPI issued | Feb 22, 2024 |
| Last updated in NPPES | Feb 22, 2024 |
| Certified by provider | Feb 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 18921 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MA) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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