Edward Bleu

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

501 Issued in MA

Practice address

3 Winn St
Woburn, MA 01801-2828

Phone

(781) 718-5258

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1255641627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018030194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WINN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012828",
            "telephone_number": "781-718-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEU",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "501",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUSETTS",
            "identifier": "VC6000076656",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Bishop, RN
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• Laura Block, PTA
• Emily Blood
• Jamie Blum
• BLW Medical Services LLC
• Kristin Elizabeth Bly

• Addiction (Substance Use Disorder) Counselor in Woburn, MA
• Providers in Woburn, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.