NPIMap

Organization Active NPI

Bloom Into Wellness LLC

  • Mental Health Counselor
  • Mansfield, MA
National Provider Identifier
1275039620
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM INTO WELLNESS LLC
Practice address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone
(508) 443-1305
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Tonia A Zarrella, LMHCNPI 1225366040
Title
Owner/Psychotherapist
Phone
(508) 443-1305

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183

Mailing address

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone (508) 443-1305

Other practice location 1

45 Dan Road
c/o Workspace@45, Office #13
Canton, MA 02021
Phone (508) 443-1305

Other practice location 2

294 Pleasant St Ste 102
Stoughton, MA 02072-2571
Phone (508) 443-1305

National Provider Directory

National Provider Directory

Locations

45 Dan Rd
Ste 13
Canton, MA 02021
Phone (508) 443-1305

294 Pleasant St
Ste 102
Stoughton, MA 02072
Phone (508) 443-1305

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1275039620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "508-443-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "508-443-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Dan Road",
            "address_2": "c/o Workspace@45, Office #13",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "02021",
            "country_code": "US",
            "telephone_number": "508-443-1305",
            "fax_number": "888-315-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 Pleasant St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020722571",
            "country_code": "US",
            "telephone_number": "508-443-1305",
            "fax_number": "888-315-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM INTO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "ZARRELLA",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "508-443-1305",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.