Edward Blevins, LPC, LCADC - Medicare Counselor in Sparta, NJ

Edward Blevins, LPC, LCADC is a medicare enrolled "Counselor - Professional" provider in Sparta, New Jersey. His current practice location is 25 Main St Rear Suite, Sparta, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 246-0553.

Edward Blevins is licensed to practice in New Jersey (license number 37PC00516900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811352677.

Contact Information

Edward Blevins, LPC, LCADC
25 Main St Rear Suite,
Sparta, NJ 07871-1937
(908) 246-0553
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEdward Blevins
GenderMale
SpecialityCounselor - Professional
Location25 Main St Rear Suite, Sparta, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811352677
  • Provider Enumeration Date: 12/22/2015
  • Last Update Date: 09/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133658354
  • Enrollment ID: I20250131003075

Medical Identifiers

Medical identifiers for Edward Blevins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811352677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 37LC00254100 (New Jersey)Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
101YP2500XCounselor - Professional 37PC00516900 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edward Blevins allows following entities to bill medicare on his behalf.
Entity NameFirst Light Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649083072
PECOS PAC ID: 7315476538
Enrollment ID: O20250131002887

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Blevins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Blevins, LPC, LCADC
25 Main St Rear Suite,
Sparta, NJ 07871-1937

Ph: (908) 246-0553
Edward Blevins, LPC, LCADC
25 Main St Rear Suite,
Sparta, NJ 07871-1937

Ph: (908) 246-0553

Reviews and Comments


Counselor in Sparta, NJ

Dr. Matthew Putts, PHD, LRC
Counselor
Medicare: Not Enrolled in Medicare
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Phone: 973-879-8525    
Isabel Juliette Nassi,
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Practice Location: 14 Main St, Sparta, NJ 07871
Phone: 201-498-9140    
Tierney Veliz, MA, ED.S, LPC
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Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871
Phone: 973-512-3700    
Melony K Bishop,
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Practice Location: 191 Woodport Rd, Sparta, NJ 07871
Phone: 973-512-3700    
Elizabeth Ellis, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871
Phone: 973-573-1500    
Cassidy Spohn, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 191 Woodport Rd, Sparta, NJ 07871
Phone: 973-512-3700    
Lisa Arline Frisbie, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871
Phone: 908-291-8466    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.