Stacey Blauth, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00350900 Issued in NJ

Practice address

710 Vaughn Ave
Toms River, NJ 08753-4510

Phone

(908) 343-9530

NPI assigned

Jun 19, 2012

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1326301920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 VAUGHN AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534510",
            "telephone_number": "908-343-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VAUGHN AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534510",
            "telephone_number": "908-343-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUTH",
        "first_name": "STACEY",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00133000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00350900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nicole Black, MSN, APN, FNP-BC
• Victoria Black
• Vincent Blandino Jr., MD
• Lauren Blann, CPNP
• Shulamis Blau
• Alvin D Bleiberg, O.D.
• Gary Scott Bleiberg, O.D.
• Summer Star Bleich, OTR/L
• Blissful Intentions LLC
• Blossom ABA Therapy NJ LLC

• Professional Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.