Bloomed Within

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOOMED WITHIN

Practice address

9092 Rally Spring Loop
Wesley Chapel, FL 33545-2324

Phone

(352) 549-0932

NPI assigned

Apr 7, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Cennington, LCSWNPI 1588056410

Title

Authorized Official

Phone

(352) 549-0932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Andrea Cennington, LCSW

  • Clinical Social Worker
  • Wesley Chapel, FL
  • NPI 1588056410
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1215566526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 RALLY SPRING LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452324",
            "telephone_number": "352-549-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 RALLY SPRING LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452324",
            "telephone_number": "352-549-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMED WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "CENNINGTON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "352-549-0932",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Blanchard, ITDS
• Alexandra Elisabeth Blanco, PMHNP
• Kimberly Blanding Hodges, ED.D.
• Bliss Pelvic Health
• Bradley Steven Blocher
• Kendal Marie Blouvet
• Blue Heron Health and Rehabilitation LLC
• Blue Heron Health and Rehabilitation LLC
• Blue Horizon Assisted Living Facility
• Blue Park Dental PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.