Active NPI
Daniel Blum
- Counselor
- Voorhees, NJ
National Provider Identifier
1477071975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 221 Laurel Rd Ste 102
Voorhees, NJ 08043-8301 - Phone
- (856) 772-5809
- NPI assigned
- Sep 5, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
221 Laurel Rd Ste 102
Voorhees, NJ 08043-8301
Mailing address
221 Laurel Rd Ste 102
Voorhees, NJ 08043-8301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240114000063 | NJ | Practitioner - Mental Health Counselor | 2769834886 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Counseling Center LLC
Practice addresses (Care Compare)
2340 US Hwy 9
Suite A2
Howell, NJ 07731-4016
Phone (732) 987-9770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling Center, LLC | Current | Accepting new patients |
Locations
2340 US Highway 9
Ste A2
Howell, NJ 07731
Phone (732) 637-8231
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": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1477071975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 LAUREL RD STE 102",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080438301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LAUREL RD STE 102",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080438301",
"telephone_number": "856-772-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.