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JERRY BLUME LICSW
NPI 1518067701
Psychologist - Cognitive & Behavioral in Burnsville, MN

Active since September 25, 2006
1523 HIGHWAY 13 E, BURNSVILLE, MN 55337(952) 894-4828(952) 894-3737 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Blume Licsw NPPES

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

JERRY BLUME LICSW (NPI 1518067701) is an individual cognitive & behavioral provider in Burnsville, Minnesota, licensed in Minnesota (LICSW12647) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1518067701
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameJERRY BLUMECredential: LICSW
Location Address1523 HIGHWAY 13 EBurnsville, MN 55337-2917
Mailing Address1523 Highway 13 EBurnsville, MN 55337-2917 · (952) 894-4828 · Fax (952) 894-3737
Phone(952) 894-4828
Fax(952) 894-3737
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1518067701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MN · LICSW12647
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
1523 HIGHWAY 13 E, Burnsville, MN 55337
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Other Identifiers 3

Other340M8BLMN · Mn Bcbs
OtherHP34163MN · Health Partners
Other6261296MN · Medica Ubh

Other Providers at the Same Location NPPES 8

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

AZHAR OMAR ADAN
Behavior Technician
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (612) 242-0517
FARDOWSA DAYIB MOHAMED
Behavior Technician
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (612) 242-0517
MUNA ASAD AHMED
Behavior Technician
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (612) 242-0517
DAN BANNISTER LICSW
Social Worker
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (952) 894-4828
RACHEL ASH LICSW
Social Worker (Clinical)
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (952) 894-4828
AISHA SHEIKH JOHAR
Behavior Technician
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (612) 242-0517
AYAN ABDIKARIN DUALE
Registered Nurse
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (612) 242-0517
LUTHERAN COUNSELING CENTER
Social Worker (Clinical)
1523 HIGHWAY 13 E
BURNSVILLE, MN 55337
Dakota County (952) 894-4828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Blume's NPI number?

The NPI number for Jerry Blume is 1518067701. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Jerry Blume located?

Jerry Blume practices at 1523 Highway 13 E, Burnsville, MN 55337. The listed phone number is (952) 894-4828.

What is Jerry Blume's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Jerry Blume was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.