Individual provider Active NPI

Betty Martin Blount, RN, ED.D.

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1578604252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN115101L Issued in PA
Practice address
7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231
Phone
(215) 247-5400
Fax
(215) 247-5175
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RN115101L PA Primary

Addresses

Primary practice location

7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231

Mailing address

7600 Stenton Ave
Suite 1F
Philadelphia, PA 19118-3231
Phone (215) 247-5400

Other identifiers 2

IdentifierTypeStateIssuer
7135268OtherPAAETNA
0225958000OtherPAPERSONAL CHOICE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN115101LPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling Associates Mental Health Past Accepting new patients
Evergreen Counseling and Psychological Associates LLC Mental Health PastSince Mar 20, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578604252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 STENTON AVE",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183231",
            "telephone_number": "215-247-5400",
            "fax_number": "215-247-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 STENTON AVE",
            "address_2": "SUITE 1F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183231",
            "telephone_number": "215-247-5400",
            "fax_number": "215-247-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "BETTY",
        "middle_name": "MARTIN",
        "credential": "RN, ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "RN115101L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7135268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0225958000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.