Bloom Within Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOOM WITHIN COUNSELING, LLC

Practice address

1311 Midland Dr
Saint Louis, MO 63130-1824

Phone

(314) 643-8159

NPI assigned

Apr 7, 2026

Last updated

Apr 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keaton Elaine Coleman, LCSWNPI 1417732033

Title

Mental Health Counselor/Ceo

Phone

(314) 643-8159

Specialties & licenses 1

Addresses

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.

• Keaton Elaine Coleman, LCSW

  • Clinical Social Worker
  • O'Fallon, MO
  • NPI 1417732033
  NPD Authorized official

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1083556369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MIDLAND DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301824",
            "telephone_number": "314-643-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MIDLAND DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301824",
            "telephone_number": "314-643-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WITHIN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KEATON",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/CEO",
        "authorized_official_telephone_number": "314-643-8159",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Blood, MD
• Amanda Bloodworth, LPC
• Bloom Home Healthcare LLC
• Bloom Primary Mo II, LLC
• Bloom Primary Mo, LLC
• Ilene Linda Bloom-Ellis, MSW, LCSW, ACSW
• Michelle Marie Bloom, ACNP
• Gordon R Bloomberg, MD
• Maryann L Bloomer, OTR
• Blooming Oaks Wellness & Rehabilitation LLC (Bluebird Wellness & Rehabilitation)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.