Organization Active NPI

Bluebird and Bloom, LLC

  • Adult Mental Health Clinic/Center
  • Bowling Green, OH
National Provider Identifier
1013800630
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BLUEBIRD AND BLOOM, LLC
Practice address
534 Wallace Ave
Bowling Green, OH 43402-2225
Phone
(614) 664-3487
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Megan Rose, LISWNPI 1386236693
Title
Mental Health Therapist/Owner
Phone
(614) 664-3487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

534 Wallace Ave
Bowling Green, OH 43402-2225

Mailing address

534 Wallace Ave
Bowling Green, OH 43402-2225
Phone (614) 664-3487

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1013800630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WALLACE AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022225",
            "telephone_number": "614-664-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 WALLACE AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022225",
            "telephone_number": "614-664-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD AND BLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/OWNER",
        "authorized_official_telephone_number": "614-664-3487",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.