Active NPI
Anchors in Bloom Counseling LLC
- Mental Health Counselor
- Jackson, TN
National Provider Identifier
1306412903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ANCHORS IN BLOOM COUNSELING LLC
- Practice address
- 174 Murray Guard Dr
Jackson, TN 38305-3742 - Phone
- (731) 487-2468
- NPI assigned
- Jun 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Barron
- Title
- Owner
- Phone
- (731) 313-7688
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
174 Murray Guard Dr
Jackson, TN 38305-3742
Mailing address
PO Box 202
Medina, TN 38355-0202
Phone (731) 487-2468
Other practice location 1
116 Jabez Dr
Medina, TN 38355-8807
Phone (731) 313-7688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1306412903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "MEDINA",
"state": "TN",
"postal_code": "383550202",
"telephone_number": "731-487-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 MURRAY GUARD DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053742",
"telephone_number": "731-487-2468"
}
],
"practiceLocations": [
{
"address_1": "116 Jabez Dr",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "TN",
"postal_code": "383558807",
"country_code": "US",
"telephone_number": "731-313-7688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANCHORS IN BLOOM COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "BARRON",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-313-7688"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.