NPIMap

Organization Active NPI

Amanah Bloom Counseling and Consulting

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1124902986
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMANAH BLOOM COUNSELING AND CONSULTING
Practice address
3580 W Ina Rd Ste 220
Tucson, AZ 85741-2276
Phone
(520) 675-4002
Fax
(520) 779-3234
NPI assigned
Aug 4, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Stephenie Kamaal, LCSWNPI 1720799554
Title
Owner
Phone
(520) 591-3010

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3580 W Ina Rd Ste 220
Tucson, AZ 85741-2276

Mailing address

PO Box 1028
Marana, AZ 85653-1028
Phone (520) 591-3010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1124902986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856531028",
            "telephone_number": "520-591-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 W INA RD STE 220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412276",
            "telephone_number": "520-675-4002",
            "fax_number": "520-779-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANAH BLOOM COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "KAMAAL",
        "authorized_official_first_name": "STEPHENIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-591-3010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.