Darbi Peterson

Primary specialty

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

Legal business name

DARBI PETERSON

Doing business as

Bloom Mental Health LLC

Practice address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Phone

(469) 588-6727

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BLOOM MENTAL HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Darbi Peterson, LPC

Title

Clinical Manager and Owner

Phone

(469) 588-6727

Specialties & licenses 1

Addresses

Other names 1

• Bloom Mental Health LLC Doing business as

Part of

Darbi Peterson

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1215717350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AQUA MARINE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682269",
            "telephone_number": "469-588-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "469-588-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARBI PETERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOOM MENTAL HEALTH LLC",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DARBI",
        "authorized_official_title_or_position": "CLINICAL MANAGER AND OWNER",
        "authorized_official_telephone_number": "469-588-6727",
        "authorized_official_credential": "LPC"
    },
    "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": [
        {
            "organization_name": "Bloom Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Dapelo
• Jessica D. Dapper, MD
• Karla Leann Dapper, M.A., LPC
• Khola H Dar, M.D.
• Olayinka Daramola, APRN
• John Alec Darbonne, LPC-ASSOCIATE
• Byron Gallaway Darby, MD
• Dian Darby, L. AC. MSOM
• Dorothy Darby, RN MSN ACNS ANP CCRN
• Frank J Darby, LPC LSOTP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.