Active NPI
Anchor and Bloom Counseling LLC
- Mental Health Counselor
- Maplewood, MN
National Provider Identifier
1114801487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ANCHOR AND BLOOM COUNSELING LLC
- Practice address
- 2395 Ariel St N
Maplewood, MN 55109-2248 - Phone
- (651) 650-2533
- NPI assigned
- Aug 1, 2025
- 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
- Ericka Reil, LPCC
- Title
- Owner
- Phone
- (320) 237-7075
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 | Primary |
Addresses
Primary practice location
2395 Ariel St N
Maplewood, MN 55109-2248
Mailing address
1367 County Road H2
White Bear Township, MN 55110-2241
Phone (320) 237-7075
Other practice location 1
1367 County Road H2
White Bear Township, MN 55110-2241
Phone (320) 237-7075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250917000497 | MN | Part B Supplier - Clinic/Group Practice | 8123522869 |
Receives reassigned benefits from 1 practitioner Practice locations: White Bear Township, MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1114801487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1367 COUNTY ROAD H2",
"city": "WHITE BEAR TOWNSHIP",
"state": "MN",
"postal_code": "551102241",
"telephone_number": "320-237-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 ARIEL ST N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551092248",
"telephone_number": "651-650-2533"
}
],
"practiceLocations": [
{
"address_1": "1367 County Road H2",
"address_purpose": "LOCATION",
"city": "White Bear Township",
"state": "MN",
"postal_code": "551102241",
"country_code": "US",
"telephone_number": "320-237-7075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANCHOR AND BLOOM COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "REIL",
"authorized_official_first_name": "ERICKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-237-7075",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.