Bloom Harbor Collective, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLOOM HARBOR COLLECTIVE, PLLC

Practice address

2529 E Lancaster Ave
Fort Worth, TX 76103-2253

Phone

(469) 868-4500

NPI assigned

Aug 27, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chenya Joseph, APRNNPI 1699504910

Title

Owner

Phone

(662) 310-2341

Specialties & licenses 1

Addresses

Locations

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.

• Chenya Joseph

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
  • NPI 1699504910
  Authorized official Same address or phone

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1265349914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 RUFE SNOW DR. STE. 280",
            "address_2": "PMB 1050",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761483352",
            "telephone_number": "469-868-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032253",
            "telephone_number": "469-868-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM HARBOR COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CHENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-310-2341",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mette Jane Adams Blockhan, O.T.
• Duffy Bloemendal, OTR
• Lee Charles Bloemendal, MD
• Lee Scott Bloemendal, MD
• Bloom Bilingual Speech Therapy
• Amber Dawn Bloom, LPC-S
• Tyler Lee Bloomer, M.D.
• Becky Bloomfield, PT
• Elizabeth M Bloomfield, PA
• Amy Joy Blount

• Psychiatric/Mental Health Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.