Active NPI
Vivian Lederer Blanc, MS
- Professional Counselor
- Wormleysburg, PA
National Provider Identifier
1245313360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002092
- Practice address
- 1017 Mumma Rd
Suite 200
Wormleysburg, PA 17043-1145 - Phone
- (717) 303-5960
- Fax
- (717) 303-5962
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002092 | PA | Primary |
Addresses
Primary practice location
1017 Mumma Rd
Suite 200
Wormleysburg, PA 17043-1145
Mailing address
1017 Mumma Rd
Suite 200
Wormleysburg, PA 17043-1145
Phone (717) 303-5960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC002092 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blanc Counseling Services | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1245313360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MUMMA RD",
"address_2": "SUITE 200",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431145",
"telephone_number": "717-303-5960",
"fax_number": "717-303-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 MUMMA RD",
"address_2": "SUITE 200",
"city": "WORMLEYSBURG",
"state": "PA",
"postal_code": "170431145",
"telephone_number": "717-303-5960",
"fax_number": "717-303-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANC",
"first_name": "VIVIAN",
"middle_name": "LEDERER",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wormleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.