Active NPIIndividual providerSole proprietor

Marideanne Blomgren, LPC

Counselor, Mental Health in Kendall Park, New Jersey

NPI Number1528033040
Practice location
127 Andover Dr, Kendall Park, NJ 08824-7026
Fax
—
Last updated
November 8, 2012

Marideanne Blomgren is a Counselor, Mental Health based in Kendall Park, NJ. Marideanne Blomgren practices in Kendall Park, NJ and has the professional credentials of LPC. The NPI Number for Marideanne Blomgren is 1528033040 and holds a License No. PC 00003200 (NJ). The current practice location address for Marideanne Blomgren is 127 Andover Dr, Kendall Park, NJ 08824-7026 and can be reached out via phone at 732-422-7669.

Provider Profile Details

NPI Number
1528033040
Provider Name
Marideanne Blomgren
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
127 Andover Dr, Kendall Park, NJ 08824-7026
Phone Number
732-422-7669
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2006
Last Update Date
November 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Andover Dr
Kendall Park, NJ 08824-7026
Zip
08824-7026
Phone Number
732-422-7669
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
127 Andover Dr
Kendall Park, NJ 08824-7026
City
Kendall Park
State
NJ
Zip
08824-7026
Phone Number
732-422-7669

License Information

License Number
PC 00003200
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marideanne Blomgren, LPC?

The NPI number of Marideanne Blomgren, LPC is 1528033040. It was assigned on February 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Marideanne Blomgren, LPC?

Marideanne Blomgren, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number PC 00003200.

Where does Marideanne Blomgren, LPC practice?

The practice location is 127 Andover Dr, Kendall Park, NJ 08824-7026. The office can be reached at 732-422-7669 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528033040 directly on the NPPES registry website.

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