Blooming Prairie Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BLOOMING PRAIRIE PSYCHOLOGY

Practice address

4521 Ottawa St Ste 209
Bismarck, ND 58503-6196

Phone

(701) 202-8651

NPI assigned

Sep 14, 2024

Last updated

Sep 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Kristine Kenney, PSYDNPI 1346346780

Title

Owner

Phone

(701) 739-4729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

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.

• Sara K. Kenney, PSYD

  • Psychologist
  • Bismarck, ND
  • NPI 1346346780
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1346077369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 OTTAWA ST STE 209",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036196",
            "telephone_number": "701-202-8651",
            "fax_number": "701-425-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 OTTAWA ST STE 209",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036196",
            "telephone_number": "701-202-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING PRAIRIE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-739-4729",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Blinsky, LCSW
• Cameron Blissell, CRNA
• Lauren E Block, PA-C
• Kathy Blohm, PHD
• Roberta Bloom
• Blake Jennings Blowers
• Byron J Blowers, D.C.
• Blue Apple Chiropractic PLLC (Blue Apple Walk In Chiropractic)
• Blue Apple Wellness, LLP (Blue Apple Walk In Chiropractic)
• Darcie Blue Earth

• Psychologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.

Verify at the official NPI Registry.