Individual provider Active NPI

Rebecca Isadora Bloom, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1295941904
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008134 Issued in WA
Practice address
5425 Rainier Ave S Ste a
Seattle, WA 98118-2455
Phone
(206) 380-6297
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00008134 WA Primary

Addresses

Primary practice location

5425 Rainier Ave S Ste a
Seattle, WA 98118-2455

Mailing address

5425 Rainier Ave S Ste a
Seattle, WA 98118-2455
Phone (206) 380-6297

Other practice location 1

600 1st Ave
629
Seattle, WA 98104
Phone (206) 380-6297

Other names 1

  • Ms. Rebecca Isadora Felsenfeld Former name

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

LicenseStateTypeSpecialty
LH00008134WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1295941904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 RAINIER AVE S STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182455",
            "telephone_number": "206-380-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 RAINIER AVE S STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182455",
            "telephone_number": "206-380-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 1st Ave",
            "address_2": "629",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-380-6297",
            "fax_number": "206-431-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "REBECCA",
        "middle_name": "ISADORA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FELSENFELD",
            "middle_name": "ISADORA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.