Diane Bleiman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SL04965700 Issued in NJ

Practice address

1924 Route 35
Wall Township, NJ 07719-3530

Phone

(732) 481-4743

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CCC Counseling Inc

  • Community/Behavioral Health Agency
  • Lakewood, NJ
  • NPI 1366848582

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1306697255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 TODD CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012256",
            "telephone_number": "609-225-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ROUTE 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193530",
            "telephone_number": "732-481-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIMAN",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00066500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL04965700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Berman, APN
• Alexandra Karin Bevacqua
• Jagdish S. Bharara, MD
• Judith Andrews Bittner, RN BSN CNOR RNFA
• Jeana Therese Blakeslee
• Judith Ann Bosco
• Danielle Bosland, DPT
• Joseph Eli Bouganim, MD
• Angela Bouton, FNP-C
• Brain Health Center

• Mental Health Counselor in Wall Township, NJ
• Providers in Wall Township, 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 Mar 28, 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.