NPIMap

Organization Active NPI

Healing Couch Inc.

  • Clinical Social Worker
  • Tamarac, FL
National Provider Identifier
1336829639
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING COUCH INC.
Practice address
8900 NW 80TH Dr
Tamarac, FL 33321-1549
Phone
(754) 234-6991
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Krista Bloom, PHDNPI 1184651432
Title
Owner
Phone
(561) 779-0748

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8900 NW 80TH Dr
Tamarac, FL 33321-1549

Mailing address

2371 SW 15TH St Apt 99
Deerfield Beach, FL 33442-7540
Phone (561) 779-0748

Other practice location 1

150 E Palmetto Park Rd
Boca Raton, FL 33432-4827
Phone (561) 779-0748

Other practice location 2

2371 SW 15th St
Deerfield Beach, FL 33442-7531
Phone (561) 779-0748

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1336829639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 SW 15TH ST APT 99",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427540",
            "telephone_number": "561-779-0748",
            "fax_number": "754-227-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 NW 80TH DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211549",
            "telephone_number": "754-234-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Palmetto Park Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334324827",
            "country_code": "US",
            "telephone_number": "561-779-0748",
            "fax_number": "754-227-7804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2371 SW 15th St",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427531",
            "country_code": "US",
            "telephone_number": "561-779-0748",
            "fax_number": "754-227-7804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING COUCH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-10-09",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-779-0748",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.