NPPES file of Aug 9, 2026

Blake Malloy

Mental Health Counselor · Maple Grove, MN

Blake Malloy is a mental health counselor with a practice address in Maple Grove, Minnesota, and NPI 1033636519, issued on Aug 25, 2017. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1033636519
Name
Blake Malloy
Primary taxonomy
Mental Health Counselor 101YM0800X
Practice location
13603 80TH Cir N, Maple Grove, MN 55369
Phone
(763) 274-3120
Enumerated
Aug 25, 2017
Record last updated
Aug 25, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(763) 274-3121
Medicare enrollment
Enrolled (PECOS I20251028001148); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 13603 80TH Cir N

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shelby Banken, MA, LADCAddiction (Substance Use Disorder) Counselor1295444685
  2. Eric Bender, MS LMFTMarriage & Family Therapist1831511757
  3. Rachel Bock, LPClinical Psychologist1881372886
  4. Diane BransonProfessional Counselor1336782408
  5. Ashley BrisbinProfessional Counselor1710668710
  6. Cindi Brockhaus, PSYD, LPClinical Psychologist1972955268

Verify Blake Malloy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Stone Arch Psychology And Health ServicesMinneapolis, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Blake Malloy among 4,133 mental health counselor records in Minnesota

Blake Malloy is one of 4,133 mental health counselor records with a practice address in Minnesota. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 25% of them.

  • NPI issued2017 · 25% of these records are older, 70% newer
  • In a Medicare fileYes · 16% of these records are
  • In the CMS Doctors and Clinicians fileYes · 21% of these records are
  • Graduated2009 · median 2017 among the 852 with a school on file
  • Record last updated2017 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

52 mental health counselor records list a practice address in Maple Grove

They are 52 of the 1,568 NPPES records with a practice address in Maple Grove, and 4,133 mental health counselor records in Minnesota.

The 8 mental health counselor records with the nearest ZIP codes

  1. Christina Buscko, LPCCMaple Grove, MN 553691639573942
  2. Kristine Doten, MA, LPCCMaple Grove, MN 553691700284452
  3. Timothy Francisco, MA, LPCCMaple Grove, MN 553691467717850
  4. Ahmed Hassan, LPCCOsseo, MN 553691013469634
  5. Alison HolkupMaple Grove, MN 553691942660964
  6. Jennifer Johnson, LPCCMaple Grove, MN 553691790183614
  7. Catherine Johnson, LPCCMaple Grove, MN 553691710435623
  8. Elizabeth Jordan-O'Donnell, M.A., LPCMaple Grove, MN 553691760791248

Common questions

What is Blake Malloy's NPI number?

Blake Malloy's National Provider Identifier (NPI) is 1033636519, issued on Aug 25, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Blake Malloy located?

The NPPES record lists a practice address at 13603 80TH Cir N, Maple Grove, MN, 55369. Phone: (763) 274-3120. Providers update this record themselves, so call before visiting.

How can I verify Blake Malloy's license?

Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.