Active NPI
Sean P Blum, MT-BC
- Music Therapist
- Minneapolis, MN
National Provider Identifier
1518548585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 12901
- Practice address
- 3754 Pleasant Ave Ste 105
Minneapolis, MN 55409-1278 - Phone
- (612) 709-3969
- NPI assigned
- Apr 20, 2021
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 12901 | MN | Primary |
Addresses
Primary practice location
3754 Pleasant Ave Ste 105
Minneapolis, MN 55409-1278
Mailing address
6685 Lacasse Dr
Lino Lakes, MN 55038-7703
Phone (651) 587-5357
Other practice location 1
2965 Lone Oak Dr # 180
Eagan, MN 55121-3018
Phone (651) 268-2870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1518548585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 LACASSE DR",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550387703",
"telephone_number": "651-587-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 PLEASANT AVE STE 105",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091278",
"telephone_number": "612-709-3969"
}
],
"practiceLocations": [
{
"address_1": "2965 Lone Oak Dr # 180",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551213018",
"country_code": "US",
"telephone_number": "651-268-2870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUM",
"first_name": "SEAN",
"middle_name": "P",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "MN",
"license": "12901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.