SUSAN R BLUM
NPI 1558022467
Counselor - Professional in Voorhees, NJ

Active since January 03, 2022PECOS Enrolled
1010 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043(602) 741-6173 Get Directions Write a Review

NPPES record last updated: January 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Susan R Blum NPPES

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

SUSAN R BLUM (NPI 1558022467) is an individual professional provider in Voorhees, New Jersey, licensed in New Jersey (37AC00615400) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558022467
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN R BLUM
Location Address1010 HADDONFIELD BERLIN RDVoorhees, NJ 08043-3514
Mailing Address217 Hadleigh DrCherry Hill, NJ 08003-1936 · (609) 605-3011
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 3, 2022
Last NPPES UpdateJanuary 22, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2022
NPI 1558022467 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 NJ · 37AC00615400
1010 HADDONFIELD BERLIN RD, Voorhees, NJ 08043

Other Identifiers 1

Medicaid37AC00615400NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan R Blum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810471976
PECOS Enrollment IDI20260317004690
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 2

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

Nurse Practitioner (Family)
1010 HADDONFIELD BERLIN RD
VOORHEES, NJ 08043
Counselor (Professional)
1010 HADDONFIELD BERLIN RD
VOORHEES, NJ 08043

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 Susan Blum's NPI number?

The NPI number for Susan Blum is 1558022467. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Susan Blum located?

Susan Blum practices at 1010 Haddonfield Berlin Rd, Voorhees, NJ 08043. The listed phone number is (602) 741-6173.

What is Susan Blum's specialty?

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

Is Susan Blum enrolled in Medicare?

Yes. Susan Blum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Blum was last updated on January 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.