Active NPI
Caronne Taylor Bloom, LPC, NCC
- Professional Counselor
- Hellertown, PA
National Provider Identifier
1295343143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012538
- Practice address
- 445 Maple Rd
Hellertown, PA 18055-1918 - Phone
- (484) 425-6250
- NPI assigned
- Jul 16, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC012538 | PA | |
| Mental Health Counselor | 101YM0800X | PC012538 | PA | |
| Professional Counselor | 101YP2500X | PC012538 | PA | Primary |
Addresses
Primary practice location
445 Maple Rd
Hellertown, PA 18055-1918
Mailing address
445 Maple Rd
Hellertown, PA 18055-1918
Phone (484) 425-6250
Other practice location 1
1247 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6298
Phone (610) 770-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC012538 | Other | PA | STATE BOARD OF SOCIAL WORK, MFT, AND PROF. COUNSELING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctbloom@everychildeverytime.com | Direct | Children's Integrated Center for Success |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012538 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Integrated Center for Success | Past | Accepting new patients | |
| Blackbird Clinical Services PC | Past | Accepting new patients |
Interoperability endpoints
- caronne.taylor.bloom.lpc.1@32853.direct.athenahealth.com
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.
-
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- Allentown, PA
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-
- Family Nurse Practitioner
- Allentown, PA
- NPI 1447670708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1295343143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 MAPLE RD",
"city": "HELLERTOWN",
"state": "PA",
"postal_code": "180551918",
"telephone_number": "484-425-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 MAPLE RD",
"city": "HELLERTOWN",
"state": "PA",
"postal_code": "180551918",
"telephone_number": "484-425-6250"
}
],
"practiceLocations": [
{
"address_1": "1247 S Cedar Crest Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036298",
"country_code": "US",
"telephone_number": "610-770-1800",
"fax_number": "610-770-1805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR BLOOM",
"first_name": "CARONNE",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2023-11-27",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC012538",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC012538",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF SOCIAL WORK, MFT, AND PROF. COUNSELING",
"identifier": "PC012538",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctbloom@everychildeverytime.com",
"affiliation": "Y",
"affiliationName": "Children's Integrated Center for Success",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure email",
"address_1": "1247 S Cedar Crest Blvd Ste 100",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181036298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hellertown, PA
- Jessica Spielman, MS, CAADC, LPC
- Kristen Spillane
- St. Luke's Hospital (St. Luke's Care Now- Hellertown)
- St. Luke's Physician Group, Inc.
- Allison Sterner
- The Acorn Center for Counseling and Education LLC
- The Giant Company, LLC (Giant Pharmacy #6043)
- Stanley Theodoredis, LPC, CAADC
- Thrift Drug Inc (Rite Aid Pharmacy 11048)
- TLW Care Solutions LLC Dba Millbrook Homecare (Millbrook HomeCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.