Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberley Blake, MA, NCC, LPC

Individual provider Professional Counselor · NPI 1922771765

Kimberley Blake, MA, NCC, LPC is a Mental Health Counselor in Bridgeport, Connecticut. Qualified in 2019, 7 years ago. Practices with Cornell Scott Hill Health Corporation, a 258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

140 John St
Bridgeport, CT 06604-4323
Phone: (203) 450-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 004945 (CT)

Record details

NPI number1922771765
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , NCC , LPC
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cornell Scott Hill Health Corporation — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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