Individual provider Active NPI

Sean P Blum, MT-BC

  • Music Therapist
  • Minneapolis, MN
National Provider Identifier
1518548585
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
12901 Issued in MN
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

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.