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

Mr. Blake William Shepard, LMFT

Individual provider Mental Health Counselor · NPI 1477984110

Mr. Blake William Shepard, LMFT is a Mental Health Counselor in South San Francisco, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557
Phone: (707) 478-7591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 127480 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X (CA)

Record details

NPI number1477984110
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedDecember 5, 2013
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

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