Madilyn R Bliss

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7601 Wayzata Blvd
Saint Louis Park, MN 55426-1626

Phone

(612) 223-8898

NPI assigned

Jan 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1851043731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 NILES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161422",
            "telephone_number": "612-999-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261626",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "MADILYN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Blake, PA-C
• Michael Benjamin Blazar, M.D.
• Michael J. Bleet, M.D.
• Kristen M. Bleninger-Sundar, NP-C
• Christopher H Blevins, MD
• Roman Bloch, M.D.
• Mary C Blomberg, MD
• Blue & White Service Corporation
• Bluebird Homecare Agency
• Kathryn Blum

• Mental Health Counselor in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Mental Health Counselor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.