Organization Active NPI

Bloom Health Services

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1104348671
Registry record updated Jul 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM HEALTH SERVICES
Practice address
655 Lawrence St
Detroit, MI 48202-1016
Phone
(313) 673-3332
NPI assigned
Jul 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2017

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

Authorized official

Name
Brittni Smith
Title
Ceo/Administrator
Phone
(313) 673-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

655 Lawrence St
Detroit, MI 48202-1016

Mailing address

655 Lawrence St
Detroit, MI 48202-1016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500163200000",
    "number": "1104348671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 LAWRENCE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LAWRENCE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021016",
            "telephone_number": "313-673-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-07-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRITTNI",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "313-673-3332"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2017; 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.