Judson R Bliss, LPC, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002010 Issued in MO

Practice address

500 Clark Ave
St a
Union, MO 63084-1004

Phone

(636) 583-1800

Fax

(636) 583-0836

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Louis Counseling, IncGroup PAC ID 7214901289, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  Medicare reassignment Care Compare group NPD
• Catholic Family Services Inc.

  dba Family Wellness Program

  • Mental Health Counselor
  • Union, MO
  • NPI 1154480176
  NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1750587739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PREMIER DR STE 200",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262943",
            "telephone_number": "314-544-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLARK AVE",
            "address_2": "ST A",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841004",
            "telephone_number": "636-583-1800",
            "fax_number": "636-583-0836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 McNutt St",
            "address_purpose": "LOCATION",
            "city": "Herculaneum",
            "state": "MO",
            "postal_code": "630481510",
            "country_code": "US",
            "telephone_number": "636-638-2203",
            "fax_number": "636-638-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Premier Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262943",
            "country_code": "US",
            "telephone_number": "314-544-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLISS",
        "first_name": "JUDSON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "LPC, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007019560",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bel Oak of Union LLC (Union Care Center)
• Hakema Berger, MSW, LMSW
• George Howard Bergevin, D.C.
• Kimberly L Bickel
• Allison E Blake, PT
• Alicia S. Bolzenius, DC
• Marcella L Bolzenius, L.P.C.
• Katrina Boogerd, LPC, MA
• Jamie Marie Borgmann, MD
• Caitlin Elizabeth Bright, LCSW

• Professional Counselor in Union, MO
• Providers in Union, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.