Active NPI
Made to Bloom Counseling, PLLC
- Mental Health Counselor
- Trinity, NC
National Provider Identifier
1336096510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MADE TO BLOOM COUNSELING, PLLC
- Practice address
- 5692 Siler St
Trinity, NC 27370-8989 - Phone
- (585) 683-0441
- NPI assigned
- Mar 16, 2026
- Last updated
- Mar 16, 2026
- 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 Nowadly, MSW, LCSW
- Title
- Owner, Mental Health Therapist
- Phone
- (585) 683-0441
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 | NU | Primary |
Addresses
Primary practice location
5692 Siler St
Trinity, NC 27370-8989
Mailing address
5692 Siler St
Trinity, NC 27370-8989
Phone (585) 683-0441
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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1336096510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5692 SILER ST",
"city": "TRINITY",
"state": "NC",
"postal_code": "273708989",
"telephone_number": "585-683-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5692 SILER ST",
"city": "TRINITY",
"state": "NC",
"postal_code": "273708989",
"telephone_number": "585-683-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADE TO BLOOM COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A",
"authorized_official_last_name": "NOWADLY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "585-683-0441",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.