BLAKE STUART BURDACK NPI 1518880996

NPI Information

  • NPI: 1518880996
  • Provider Name: BLAKE STUART BURDACK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 309 10TH ST
    RADFORD, VA
    ZIP 24141
  • Phone: (540) 818-9989

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NPI Details

Blake Stuart Burdack is a mental health counselor in Radford, VA. Blake Stuart Burdack NPI is 1518880996. 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:

309 10TH ST
RADFORD, VA
ZIP 24141-007
Phone: (540) 818-9989

The enumeration date for this NPI number is 8/3/2026 and was last updated on 8/3/2026.

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)0709027011VIRGINIANo
2101YM0800XCounselorMental Health0704018988VIRGINIAYes

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

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