Organization Active NPI

Bloom Counseling of Sanford

  • Mental Health Counselor
  • Sanford, NC
National Provider Identifier
1073322368
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM COUNSELING OF SANFORD
Practice address
136 Carbonton Rd Ste 220
Sanford, NC 27330-4000
Phone
(910) 225-4665
Fax
(910) 226-2971
NPI assigned
Jan 2, 2025
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Kimberly Denise Casey, LCMHCSNPI 1285076976
Title
Owner/Therapist
Phone
(731) 592-3351

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

136 Carbonton Rd Ste 220
Sanford, NC 27330-4000

Mailing address

628 Regimental Dr
Cameron, NC 28326-7668
Phone (910) 225-4665

National Provider Directory

National Provider Directory

Locations

136 Carbonton Rd
Sanford, NC 27330
Phone (919) 718-5561

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1073322368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 REGIMENTAL DR",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283267668",
            "telephone_number": "910-225-4665",
            "fax_number": "910-446-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CARBONTON RD STE 220",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304000",
            "telephone_number": "910-225-4665",
            "fax_number": "910-226-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING OF SANFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "731-592-3351",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.