Oak & Bloom Wellness

Primary specialty

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

Legal business name

OAK & BLOOM WELLNESS

Practice address

1328 E Independence St
Boise, ID 83706-5625

Phone

(208) 695-7238

NPI assigned

May 1, 2025

Organization subpart

No

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

Authorized official

Name

Natalia Samudovsky, LCPCNPI 1649752403

Title

Therapist/Counselor

Phone

(208) 695-7238

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.

• Natalia Samudovsky, LCPC

  • Professional Counselor
  • Boise, ID
  • NPI 1649752403
  NPD Authorized official

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1255120804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E INDEPENDENCE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E INDEPENDENCE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065625",
            "telephone_number": "208-695-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK & BLOOM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "SAMUDOVSKY",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "208-695-7238",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

• Jamie E O'Neill, MD
• Declan P O'Riordan, MD
• R. Ryan O'Rourke, L.P.C.
• Shannon O'Rourke, PHARMD
• Savannah Laurel O'Toole, LPC
• Oak and Ivy Therapy Services
• Oakes Chiropractic Health Center P a
• Darrell E Oakes, D.C.
• Mitchell T Oakes, LMSW
• Shellie Ann Oakley, MPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.