Organization Active NPI

Bliven Counseling Services, LLC

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1144038449
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLIVEN COUNSELING SERVICES, LLC
Practice address
1013 Brookside Rd Ste 104
Allentown, PA 18106-9598
Phone
(484) 707-2049
Fax
(561) 948-2803
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Stephen Paul Bliven, CSWNPI 1215541016
Title
Owner
Phone
(484) 707-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1013 Brookside Rd Ste 104
Allentown, PA 18106-9598

Mailing address

1013 Brookside Rd Ste 104
Allentown, PA 18106-9598
Phone (484) 707-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818001249 PA Part B Supplier - Clinic/Group Practice 9537668553 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

1011 Brookside Rd
Ste 155C
Allentown, PA 18106
Phone (484) 707-2049

1013 Brookside Rd
Ste 104
Wescosville, PA 18106
Phone (484) 707-2049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1144038449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BROOKSIDE RD STE 104",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069598",
            "telephone_number": "484-707-2049",
            "fax_number": "561-948-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 BROOKSIDE RD STE 104",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069598",
            "telephone_number": "484-707-2049",
            "fax_number": "561-948-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLIVEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BLIVEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-707-2049",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.