Bloom Wellness Group
Organization Active NPI Mental Health Counselor · Bettendorf, IA
NPI 1003799131 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1003799131
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BLOOM WELLNESS GROUP
- Practice address
- 3350 Utica Ridge Rd
Bettendorf, IA 52722-1616 - Phone
- (563) 265-5063
- NPI assigned
- Jul 28, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- BLOOM THERAPY, PLC
Authorized official
- Name
- Zachery Nielsen, LMHC, NCC
- Title
- Co-Manager
- Phone
- (563) 265-5063
Parent organization (reported in NPPES) 1
Practitioners 1
-
Zachery Nielsen, LMHC, NCC
National Provider Directory
- Part of
- Bloom Therapy PLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | Yes | ||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
3350 Utica Ridge Rd
Bettendorf, IA 52722-1616
Mailing address
3350 Utica Ridge Rd
Bettendorf, IA 52722-1616
Phone (563) 265-5063
Other names
- Bloom Therapy
Other providers in Bettendorf, IA
- Paul Ralph Black Jr.
- Trina Gebauer Blair
- Amy L Blevins
- Bloom Business Services, LLC
- Bloom Therapy, PLC
- Wendy Sue Bloomhuff
- Bridget Marie Blunk
- Joshua David Blunt
- Beth Bly
- Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M
All providers in Bettendorf, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.