Individual provider Active NPI

Jessica L Bloome, MA, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1255995577
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2023-0337 Issued in NM
Practice address
9955 Osuna Rd NE
Albuquerque, NM 87111-2255
Phone
(505) 585-2437
NPI assigned
Apr 23, 2019
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2023-0337 NM Primary

Addresses

Primary practice location

9955 Osuna Rd NE
Albuquerque, NM 87111-2255

Mailing address

9955 Osuna Rd NE
Albuquerque, NM 87111-2255
Phone (505) 585-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001156 NM Practitioner - Mental Health Counselor 3971042276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CTB-2023-0337NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Healthworks LLC Mental Health CurrentSince Jun 26, 2024 Accepting new patients
Bloome Healing LLC Mental Health CurrentSince Dec 21, 2025 Accepting new patients

Locations

5001 Indian School Rd NE
Ste 200
Albuquerque, NM 87110
Phone (505) 548-9023

1660 Old Pecos Trl
Ste A
Santa Fe, NM 87505
Phone (505) 548-9023

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1255995577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112255",
            "telephone_number": "505-585-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112255",
            "telephone_number": "505-585-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOME",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.