Active NPI
Lois Roberta Blum, LPC, LMFT
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1992716955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9180
- Practice address
- 4646 Corona Dr
Suite 256
Corpus Christi, TX 78411-4320 - Phone
- (361) 857-0655
- Fax
- (361) 853-0074
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9180 | TX | Primary |
Addresses
Primary practice location
4646 Corona Dr
Suite 256
Corpus Christi, TX 78411-4320
Mailing address
425 Cape Cod Dr
Corpus Christi, TX 78412-2622
Phone (361) 857-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3035LC | Other | TX | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9180 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992716955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CAPE COD DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784122622",
"telephone_number": "361-857-0655",
"fax_number": "361-853-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 CORONA DR",
"address_2": "SUITE 256",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114320",
"telephone_number": "361-857-0655",
"fax_number": "361-853-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "LOIS",
"middle_name": "ROBERTA",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "3035LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.