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

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