Organization Active NPI

Bloom Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1063369015
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BLOOM MENTAL HEALTH LLC
Practice address
2450 Chandler Ave
Las Vegas, NV 89120-4070
Phone
(702) 350-1419
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Michelle Cuevas-Romero, APRN
Title
Owner
Phone
(702) 350-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2450 Chandler Ave
Las Vegas, NV 89120-4070

Mailing address

5516 Boulder Highway
#2F-221
Las Vegas, NV 89122
Phone (702) 350-1419

National Provider Directory

National Provider Directory

Locations

5516 Boulder Hwy
#2F221
Las Vegas, NV 89122
Phone (702) 702-4969

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1063369015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 BOULDER HIGHWAY",
            "address_2": "#2F-221",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89122",
            "telephone_number": "702-350-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 CHANDLER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204070",
            "telephone_number": "702-350-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "CUEVAS-ROMERO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-350-1419",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.