Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Blake

Individual provider Community/Behavioral Health Agency · NPI 1407401185

Kathleen Blake is a Community/Behavioral Health Agency in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

13322 I St
Omaha, NE 68137-1111
Phone: (402) 230-5861
Fax: (531) 200-5808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3113 (NE)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1407401185
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2019
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

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