Bloom Wellness Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM WELLNESS GROUP

Doing business as

Bloom Therapy

Practice address

3350 Utica Ridge Rd
Bettendorf, IA 52722-1616

Phone

(563) 265-5063

NPI assigned

Jul 28, 2025

Last updated

Jul 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BLOOM THERAPY, PLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zachery Nielsen, LMHC, NCCNPI 1366049124

Title

Co-Manager

Phone

(563) 265-5063

Specialties & licenses 6

Addresses

Other names 1

• Bloom Therapy Doing business as

Part of

Bloom Therapy PLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bloom Therapy, PLC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1740901388
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachery Nielsen, LMHC, NCC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1366049124
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1003799131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221616",
            "telephone_number": "563-265-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221616",
            "telephone_number": "563-265-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WELLNESS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOOM THERAPY, PLC",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "ZACHERY",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "563-265-5063",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Ralph Black Jr., D.D.S.
• Trina Gebauer Blair, PAC
• Amy L Blevins, D.C.
• Bloom Business Services, LLC
• Bloom Therapy, PLC
• Wendy Sue Bloomhuff, DPT
• Bridget Marie Blunk, P.T.
• Joshua David Blunt, D.C., M.S.
• Beth Bly, PTA
• Board of Trustees Grand Charity Fund Grand Lodge of Iowa a F & a M (Iowa Masonic Health Facilities)

• Mental Health Counselor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.