Organization Active NPI

Bloom Counseling & Family Services

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1184177305
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62702 Issued in TX
Legal business name
BLOOM COUNSELING & FAMILY SERVICES
Practice address
1020 Bay Area Blvd Ste 118
Houston, TX 77058-2692
Phone
(832) 224-4490
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Ms. Judi E Bloom, MA, LPC-S
Title
Owner, Ceo
Phone
(832) 224-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62702 TX Primary

Addresses

Primary practice location

1020 Bay Area Blvd Ste 118
Houston, TX 77058-2692

Mailing address

1020 Bay Area Blvd Ste 118
Houston, TX 77058-2692
Phone (832) 224-4490

Other identifiers 1

IdentifierTypeStateIssuer
1407841299MedicaidTX

National Provider Directory

National Provider Directory

Locations

1020 Bay Area Blvd
Ste 118
Houston, TX 77058
Phone (832) 224-4490

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": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1184177305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BAY AREA BLVD STE 118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582692",
            "telephone_number": "832-224-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BAY AREA BLVD STE 118",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582692",
            "telephone_number": "832-224-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "JUDI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "832-224-4490",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407841299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.