Active NPI
Bloom Counseling of Sanford
- Mental Health Counselor
- Sanford, NC
National Provider Identifier
1073322368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Denise Casey, LCMHCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.