Bloom Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM THERAPY

Practice address

8 Sleepy Hollow Dr
Oak Ridge, NJ 07438-9351

Phone

(973) 945-1793

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Carly Neuschatz, LPCNPI 1386289270

Title

Licensed Professional Counselor

Phone

(973) 945-1793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carly C Neuschatz, LPC

  • Professional Counselor
  • Oak Ridge, NJ
  • NPI 1386289270

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1093687311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SLEEPY HOLLOW DR",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389351",
            "telephone_number": "973-945-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SLEEPY HOLLOW DR",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389351",
            "telephone_number": "973-945-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074504406",
            "country_code": "US",
            "telephone_number": "973-945-1793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "NEUSCHATZ",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "973-945-1793",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfa Development Inc
• Alfa Development Inc.
• Amelia Ambrose
• Dnasia Anglin
• M Patricia Baran, MD
• Clare Bohn
• Jill Marion Bossert-Squeri, APRN, BC
• Gisselle S Burgos
• Jennifer Buttenmuller, R.D.
• Rachel E Campbell, PHARMD

• Mental Health Counselor in Oak Ridge, NJ
• Providers in Oak Ridge, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.