Outbloom Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OUTBLOOM THERAPY SERVICES LLC

Practice address

10100 W Maple St Ste 102
Wichita, KS 67209-3148

Phone

(316) 295-3495

NPI assigned

Sep 20, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ericka Jobe, PHD, LSCSW, LCSWNPI 1912410671

Title

Clinician/Owner

Phone

(405) 296-3813

Specialties & licenses 1

Addresses

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.

• Ericka Jobe, PHD, LSCSW, LCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1912410671
  NPD Authorized official

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1205653391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 S PENNSYLVANIA AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596920",
            "telephone_number": "405-296-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W MAPLE ST STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093148",
            "telephone_number": "316-295-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9905 S Pennsylvania Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731596920",
            "country_code": "US",
            "telephone_number": "405-296-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTBLOOM THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "CLINICIAN/OWNER",
        "authorized_official_telephone_number": "405-296-3813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LSCSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ouellette
• Julia Kerubo Ouko
• Emmanuel Oundo
• Ourkansas Guardian Hospice LLC
• Ourkansas Guardian LLC
• Outbloom Therapy Services LLC
• Outstanding Health Care
• Deborah L Outwater, M.D.
• Elizabeth Overmiller, PHARMD
• Cassandra D. Overton, L.P.T.

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.