Organization Active NPI

Stacey Blauth, LPC Lcadc

  • Professional Counselor
  • Lanoka Harbor, NJ
National Provider Identifier
1871843813
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00350900 Issued in NJ
Legal business name
STACEY BLAUTH, LPC LCADC
Practice address
500 Main St BLDG 2
Lanoka Harbor, NJ 08734-2228
Phone
(609) 971-8989
Fax
(609) 242-3207
NPI assigned
Sep 18, 2012
Organization subpart
Yes
Parent organization
CHERYL A. BYK, LCSW LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Patricia Blanchettte
Title
Office Manager
Phone
(609) 971-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00350900 NJ Primary

Addresses

Primary practice location

500 Main St BLDG 2
Lanoka Harbor, NJ 08734-2228

Mailing address

1131 Laurel Blvd
Lanoka Harbor, NJ 08734-2903
Phone (609) 971-8989

National Provider Directory

National Provider Directory
Tax ID family
Cheryl a Byk LCSW LLC3 organizations share this tax ID, including this one
Part of
Cheryl a Byk LCSW LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1871843813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 LAUREL BLVD",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342903",
            "telephone_number": "609-971-8989",
            "fax_number": "609-242-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST BLDG 2",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342228",
            "telephone_number": "609-971-8989",
            "fax_number": "609-242-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY BLAUTH, LPC LCADC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERYL A. BYK, LCSW LLC",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BLANCHETTTE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-971-8989"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00350900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanoka Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.