Susan R Blum

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37AC00615400 Issued in NJ

Practice address

1010 Haddonfield Berlin Rd
Voorhees, NJ 08043-3514

Phone

(602) 741-6173

NPI assigned

Jan 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1861565715

  NJ

  Medicare reassignment
• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Newton, NJ
  • NPI 1275131567

  Single Specialty

  NPD
• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1477949477

  Single Specialty

  NPD

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1558022467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HADLEIGH DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031936",
            "telephone_number": "609-605-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HADDONFIELD BERLIN RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433514",
            "telephone_number": "602-741-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SUSAN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00615400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37AC00615400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Blackman, MA, CCC-SLP
• BLC-Brendenwood, LLC
• Jay Laurence Bloch, MD
• James J Bloor, DO
• Daniel Blum
• Andrew M Blumenthal, DO
• Beth Allison Blumenthal, MD
• Board of Education Voorhees TWP
• Jacek Bochenski, MD
• Nathan Daniel Bodin, M.D.

• All providers in Voorhees, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.

Verify at the official NPI Registry.