Jacqueline Bluem, PHD, LMHC, LADC

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

13800 Veterans Way
Orlando, FL 32827-7401

Phone

(651) 356-2938

NPI assigned

Nov 4, 2009

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518294032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "651-356-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "651-356-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUEM",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302710",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22660",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012189",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2810",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Diamond Orthopedic, LLC
• Blue Dolphin Health Care Corp
• Blue Kite Speech and Language Therapy
• Blue Sprig Pediatrics
• Bluelight Medical Group LLC
• Bluevine Behavioral Therapy LLC
• Leslie Blunt Johnson
• Kimberly Latoria Blunt
• Deanna G Bluntson, RBT
• Whitney Blydenburgh

• Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.