Organization Active NPI

Twilight Bloom Counseling PLLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1275424640
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TWILIGHT BLOOM COUNSELING PLLC
Practice address
2911 Medical Arts St Ste 9
Austin, TX 78705-3302
Phone
(512) 686-8765
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Colleen Ann Grinberg, LCSWNPI 1689421075
Title
LCSW
Phone
(210) 542-6001

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2911 Medical Arts St Ste 9
Austin, TX 78705-3302

Mailing address

2911 Medical Arts St Ste 9
Austin, TX 78705-3302
Phone (512) 686-8765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929000504 TX Part B Supplier - Clinic/Group Practice 3779088844 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2911 Medical Arts St
Ste 9
Austin, TX 78705
Phone (512) 474-6321

603 W 14th St
Austin, TX 78701
Phone (512) 474-6888

Practitioners & affiliated clinicians

Practitioners 1

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": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1275424640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-686-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST STE 9",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053302",
            "telephone_number": "512-686-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHT BLOOM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "210-542-6001",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.