Organization Active NPI

Blooming Oak Therapy, LLC

  • Clinical Social Worker
  • McKee, KY
National Provider Identifier
1255289559
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOMING OAK THERAPY, LLC
Practice address
6111 Highway 2003
MC Kee, KY 40447-7246
Phone
(606) 312-1560
NPI assigned
Mar 20, 2026
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Kassidy Michaela Creech, LCSWNPI 1043775117
Title
Owner
Phone
(606) 312-1560

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6111 Highway 2003
MC Kee, KY 40447-7246

Mailing address

212 N 2ND St Ste 100
Richmond, KY 40475-1408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1255289559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HIGHWAY 2003",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477246",
            "telephone_number": "606-312-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING OAK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "KASSIDY",
        "authorized_official_middle_name": "MICHAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-312-1560",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKee, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.