Provider Profile

Etosha M. Blank

Unclaimed Profile

About Etosha Blank

Etosha M. Blank is a mental health counselor based in Brooklyn, NY. Etosha is also listed as specializing in professional counselor.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2019

Specialty

Mental Health Counselor (Primary)
Mental Health Counselor (Additional)
Professional Counselor (Additional)
Mental Health Counselor (Additional)

Credentials & Licensing

NY license012547
NC license23138
NPI1780222869
NPI issued12/19/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Etosha M. Blank's specialty?

Etosha M. Blank is a mental health counselor in Brooklyn, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Etosha M. Blank?

Etosha M. Blank is listed at 705 Manhattan Ave, Brooklyn, NY 11222. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Etosha M. Blank?

The number on file is (347) 474-8464. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Etosha M. Blank?

Etosha M. Blank's National Provider Identifier is 1780222869. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Etosha M. Blank's education?

Etosha M. Blank attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Etosha M. Blank have?

Etosha M. Blank has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Is Etosha M. Blank's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Etosha M. Blank. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.