Kimberlee Blauvelt, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

90 East Halsey Rd Suite 209
Parsippany, NJ 07054

Phone

(973) 316-6077

NPI assigned

May 23, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimberlee Sisto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Assessments Counseling Educational Services

  • Local Education Agency (LEA)
  • Parsippany, NJ
  • NPI 1780088021
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1093554552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A DOGWOOD TRAIL",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EAST HALSEY RD SUITE 209",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-316-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUVELT",
        "first_name": "KIMBERLEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "SISTO",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bio-Medical Applications of New Jersey, Inc.
• Biodiagnostic Laboratory Services,LLC.
• Birchwood Health, LLC
• Craig L Bissinger, MD
• Chloe Greenleaf Bland, PH.D.
• Bloom Health
• Bloom Medical of New Jersey
• Yvonne Serwaa Boadu, APN-BC
• Naana Boamah
• Maria Lucia Bongo, MS CCC-SLP

• Mental Health Counselor in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.