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AINSLEY E BLUM LPC, SAC-IT
NPI 1811308836
Counselor - Professional in Green Bay, WI

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-6073(920) 431-0333 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 23, 2020, Nov 9, 2017, Nov 9, 2016 and 1 more (4 updates tracked since 2015).

About Ainsley E Blum Lpc, Sac-it NPPES

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

AINSLEY E BLUM LPC, SAC-IT (NPI 1811308836) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (5863-125) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811308836
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAINSLEY E BLUMCredential: LPC, SAC-IT
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 433-6073
Fax(920) 431-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2014
Last NPPES UpdateDecember 18, 20234 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1811308836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5863-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16259 (WI)
301 E SAINT JOSEPH ST, Green Bay, WI 54301
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Other Names 1

Former Name (1)Ainsley E Vandyck Lpc, Sac-it

Other Identifiers 1

Medicaid100037900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ainsley E Blum Lpc, Sac-it 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 ID941653562
PECOS Enrollment IDI20240131001388
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ainsley Blum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Psychiatric Center Inc.
Same address
Mental Health (Including Community Mental Health Center)
301 E SAINT JOSEPH ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1598728776 (920) 433-3630
Bellin Memorial Hospital Inc
1.1 mi
Otolaryngology
923 ELIZA ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1932565272 (920) 965-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. EMILY R RADEMACHER D.O., M.B.A.
Psychiatry & Neurology (Psychiatry)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630
PATSY L WHITE MSW
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630
JONI CONSTANCE DELWICHE LCSW
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
GABRIELLE MARIE RODRIGUEZ PSY.D
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
AMANDA ROSE GILLESPIE APNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 431-5533
BRIAN J CAGLE PSYD
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
ELIZABETH DIONNE DANTOIN LPC
Counselor (Professional)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
CARRIE B ISON LCSW,SAC
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630

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 Ainsley Blum's NPI number?

The NPI number for Ainsley Blum is 1811308836. It was assigned to this individual provider in the NPPES registry on May 13, 2014. The provider is also known as Ainsley E Vandyck Lpc, Sac-It.

Where is Ainsley Blum located?

Ainsley Blum practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-6073.

What is Ainsley Blum's specialty?

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

Is Ainsley Blum enrolled in Medicare?

Yes. Ainsley Blum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ainsley Blum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ainsley Blum reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc. (Green Bay, WI) and Bellin Memorial Hospital Inc (Green Bay, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ainsley Blum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ainsley Blum accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Ainsley Blum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ainsley Blum was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.