Organization Active NPI

Bloom & Flourish Therapy

  • Mental Health Counselor
  • Huntington, NY
National Provider Identifier
1164007886
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM & FLOURISH THERAPY
Practice address
755 New York Ave Ste 230
Huntington, NY 11743-4285
Phone
(631) 683-8072
Fax
(631) 498-4952
NPI assigned
Mar 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Tatiana Ashley McLean, LMHC
Title
Owner
Phone
(631) 683-8072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

755 New York Ave Ste 230
Huntington, NY 11743-4285

Mailing address

755 New York Ave Ste 230
Huntington, NY 11743-4285
Phone (631) 683-8072

Other names 1

  • Bloom & Flourish Mental Health Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://bloomflourishmhc.theranest.com

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1164007886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 230",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-683-8072",
            "fax_number": "631-498-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 230",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-683-8072",
            "fax_number": "631-498-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & FLOURISH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-683-8072",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://bloomflourishmhc.theranest.com",
            "affiliation": "N",
            "address_1": "755 New York Ave Ste 230",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117434285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bloom & Flourish Mental Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.