NPIMap

Organization Active NPI

Bloom Counseling and Wellness, LLC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1124614177
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLOOM COUNSELING AND WELLNESS, LLC
Practice address
6500 Glenridge Park PL Ste 8
Louisville, KY 40222-3450
Phone
(502) 303-2449
NPI assigned
Dec 14, 2020
Last updated
Jan 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Christina WeberNPI 1710259304
Title
Founder
Phone
(502) 303-2449

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

6500 Glenridge Park PL Ste 8
Louisville, KY 40222-3450

Mailing address

6500 Glenridge Park PL Ste 8
Louisville, KY 40222-3450

National Provider Directory

National Provider Directory

Locations

6500 Glenridge Park Pl
Ste 8
Louisville, KY 40222
Phone (502) 303-2449

Practitioners & affiliated clinicians

Practitioners 5

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": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1124614177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 GLENRIDGE PARK PL STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GLENRIDGE PARK PL STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223450",
            "telephone_number": "502-303-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "502-303-2449"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.