Shawntae Monique Blake, LCPC
NPI 1780450114ActiveIndividual· Counselor, Professional· Salisbury, MD
Counselor, Professional (LCPC) with Lighthouse Counseling Christian Ministry, LLC, practicing in Salisbury, Maryland. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780450114 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Nov 28, 2023 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LC17199 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MD) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Lighthouse Counseling Christian Ministry, LLCMillsboro, DE · 11 clinicians
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