Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ainsley E Blum, LPC, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811308836

Ainsley E Blum, LPC, SAC-IT is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2013, 13 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone: (920) 433-6073
Fax: (920) 431-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5863-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16259 (WI)

Record details

NPI number1811308836
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , SAC-IT
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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