BLAKE CARENTON MOSS NPI 1326837931

NPI Information

  • NPI: 1326837931
  • Provider Name: BLAKE CARENTON MOSS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4425 ISSAQUAH PINE LAKE RD SE APT I14
    SAMMAMISH, WA
    ZIP 98075
  • Phone: (832) 943-7204

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NPI Details

Blake Carenton Moss is an addiction (substance use disorder) counselor in Sammamish, WA. Blake Carenton Moss NPI is 1326837931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4425 ISSAQUAH PINE LAKE RD SE APT I14
SAMMAMISH, WA
ZIP 98075-247
Phone: (832) 943-7204

The enumeration date for this NPI number is 5/1/2025 and was last updated on 5/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CO61411437WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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