Bluebird Supportive Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLUEBIRD SUPPORTIVE SERVICES

Practice address

38 Hollybush GDNS
Glassboro, NJ 08028-2323

Phone

(267) 259-3747

NPI assigned

Mar 9, 2026

Last updated

Mar 9, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

TRACI BIZZELLAs reported in NPPES

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

Authorized official

Name

Traci BizzellNPI 1740667658

Title

Owner

Phone

(856) 259-3747

Specialties & licenses 2

Addresses

Other names 1

• Bizzell Enterprises Industry Other name

Part of

Bluebird Supportive Services

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Bizzell

  • Mental Health Counselor
  • Glassboro, NJ
  • NPI 1740667658

  Community/Behavioral Health

  NPD Authorized official

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1922954221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MACCLELLAND AVE",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HOLLYBUSH GDNS",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282323",
            "telephone_number": "267-259-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD SUPPORTIVE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRACI BIZZELL",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BIZZELL",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-259-3747"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bizzell Enterprises Industry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William S Berger, O.D.
• Anthony Bisti, MSW, LCSW, LCADC
• Traci Bizzell
• Anne Blair, LCSW
• Christina Blanton
• Yvonne Suzanne Boardley
• Roseanna Bodner, LCSW
• Jolene Elizabeth Bohensky, PA-C
• Teagan Borguet
• Scott David Boruchov, M.D.

• Community/Behavioral Health Agency in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.