Maran Campbell Bloomingdale, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12149047-6004 Issued in UT

Practice address

7050 S Highland Dr Ste 310
Cottonwood Heights, UT 84121-3760

Phone

(801) 996-3413

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1124847868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 310",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213760",
            "telephone_number": "801-996-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 310",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213760",
            "telephone_number": "801-996-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMINGDALE",
        "first_name": "MARAN",
        "middle_name": "CAMPBELL",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12149047-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khanni Rebecca Bills, LCSW
• Ionut Vasile Bindea
• Alexis Bitner
• Kelsee Jean Black
• Simon Bliss
• Kimberly Sue Blosser-Demars
• Christopher Bluemel
• Boe Eby CMHC, LLC
• Mackenzie Elise Bohn
• Melissa A Boll, CNM

• All providers in Cottonwood Heights, UT
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.