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

Individual provider Counselor · NPI 1366538522

Sean Michael Blake, PCC is a Mental Health Counselor in Akron, Ohio. Qualified in 2002, 24 years ago. Practices with Portage Path Community Mental Health Center, a 48-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2006
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Practice location Address checks out

340 S Broadway St
Akron, OH 44308-1529
Phone: (330) 253-3100
Fax: (330) 253-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence E4378 (OH)

Record details

NPI number1366538522
Entity typeIndividual (Type 1)
GenderMale
Credentials PCC
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address340 S Broadway St, Akron, OH 44308-1529

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Portage Path Community Mental Health Center — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Akron