Active NPI
Lisa N Wilkins-Blount, MA
- Mental Health Counselor
- Cinnaminson, NJ
National Provider Identifier
1710605126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1052 Camelot CT
Cinnaminson, NJ 08077-1569 - Phone
- (302) 597-0178
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00528600 | NJ | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1052 Camelot CT
Cinnaminson, NJ 08077-1569
Mailing address
PO Box 2601
Cinnaminson, NJ 08077-5601
Phone (609) 575-5921
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Desktop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00528600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1710605126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2601",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080775601",
"telephone_number": "609-575-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 CAMELOT CT",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080771569",
"telephone_number": "302-597-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS-BLOUNT",
"first_name": "LISA",
"middle_name": "N",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00528600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Desktop",
"affiliation": "N",
"endpointDescription": "laptop",
"address_1": "1052 Camelot Ct",
"city": "Cinnaminson",
"state": "NJ",
"country_code": "US",
"postal_code": "080771569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cinnaminson, NJ
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- Jacob Widroff, M.D.
- Wikare Health Clinic Inc.
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- Courtney Genene Winterholler, PA - C
- Shahnaz Toossi Winters, RPH
- World One Assist Foundation, Inc.
- Marwa Yacout
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.