Organization Active NPI

Bloom Counseling and Consulting, Inc

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1144999004
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLOOM COUNSELING AND CONSULTING, INC
Practice address
1400 Quail St Ste 180
Newport Beach, CA 92660-2730
Phone
(949) 562-3085
NPI assigned
Sep 13, 2021
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Amy Huynh Jordison, LMFTNPI 1689111668
Title
Director
Phone
(949) 562-3085

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1400 Quail St Ste 180
Newport Beach, CA 92660-2730

Mailing address

3129 Coral Ave Apt B
Costa Mesa, CA 92626-2472

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy@therapywithamy.com Direct

National Provider Directory

National Provider Directory

Locations

1400 Quail St
Ste 180
Newport Beach, CA 92660
Phone (949) 561-2438

Practitioners & affiliated clinicians

Practitioners 1

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1144999004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 CORAL AVE APT B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL ST STE 180",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602730",
            "telephone_number": "949-562-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING AND CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "JORDISON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "HUYNH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-562-3085",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@therapywithamy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 Quail St Ste 180",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.