Organization Active NPI

Bloom Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1194330639
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLOOM MARRIAGE AND FAMILY COUNSELING INC
Practice address
27951 Smyth Dr Ste 103
Valencia, CA 91355-4049
Phone
(661) 992-4711
Fax
(661) 678-0711
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Karen Malbon, LMFTNPI 1912319674
Title
Owner-Provider
Phone
(661) 992-4711

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

27951 Smyth Dr Ste 103
Valencia, CA 91355-4049

Mailing address

27951 Smyth Dr Ste 103
Valencia, CA 91355-4049
Phone (661) 992-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025003817 CA Part B Supplier - Clinic/Group Practice 3173056371 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

27951 Smyth Dr
Ste 103
Valencia, CA 91355
Phone (323) 909-9897

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1194330639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27951 SMYTH DR STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554049",
            "telephone_number": "661-992-4711",
            "fax_number": "661-678-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27951 SMYTH DR STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554049",
            "telephone_number": "661-992-4711",
            "fax_number": "661-678-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MARRIAGE AND FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "MALBON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER-PROVIDER",
        "authorized_official_telephone_number": "661-992-4711",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.