Lesley Anne Blum, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1700817 Issued in OH

Practice address

76 Ashwood Dr
Tiffin, OH 44883-1908

Phone

(419) 448-9440

Fax

(419) 448-5155

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By 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 1

Addresses

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1487169082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177",
            "fax_number": "419-557-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831908",
            "telephone_number": "419-448-9440",
            "fax_number": "419-448-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1700817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Blaauwendraat
• Ashley Nicole Black
• Erin Blake, PT
• Blanchard Valley Women's Care (Tiffin Women's Care)
• Kelli Anne Bloomfield, LPN
• Brooke Bockbrader, PT, DPT
• Christine K Boes, OT
• Shannan Marie Boes, RPH
• Jill E Bogard, RPH
• Jessica Leian Boggs, ATC

• Mental Health Counselor in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.