DR. ERIC S BLUMBERG PH.D., LPC
NPI 1083821946
Counselor - Professional in Detroit, MI

Q: What is Eric Blumberg's NPI number?

The NPI number for Eric Blumberg is 1083821946. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Eric Blumberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Eric Blumberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

12010 LINWOOD ST, DETROIT, MI 48206(313) 867-1090(313) 867-0706 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Eric S Blumberg Ph.d., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC S BLUMBERG PH.D., LPC (NPI 1083821946) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401006393) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083821946

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. ERIC S BLUMBERGCredential: PH.D., LPC

Location Address12010 LINWOOD STDetroit, MI 48206-1108

Mailing Address915 Leroy StFerndale, MI 48220-3114 · (313) 867-1090 · Fax (313) 867-0706

Phone(313) 867-1090

Fax(313) 867-0706

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateMay 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083821946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401006393

12010 LINWOOD ST, Detroit, MI 48206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric S Blumberg Ph.d., Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254876873

PECOS Enrollment IDI20240708003169

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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