Organization Active NPI

Blooming Hart Wellness LLC

Doing business as Blooming Hart Wellness

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1033904057
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOMING HART WELLNESS LLC
Doing business as
Blooming Hart Wellness
Practice address
401 Race St # 434
Philadelphia, PA 19106-1024
Phone
(610) 621-0455
NPI assigned
Apr 10, 2025
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Brecken Hart, LCSWNPI 1972080885
Title
Owner
Phone
(610) 621-0455

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

401 Race St # 434
Philadelphia, PA 19106-1024

Mailing address

632 N 2ND St Unit 530
Philadelphia, PA 19123-3033

Other names 1

  • Blooming Hart Wellness Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1033904057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 N 2ND ST UNIT 530",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RACE ST # 434",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061024",
            "telephone_number": "610-621-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HART WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "BRECKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-621-0455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blooming Hart Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.