Mindbloom Wellness LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MINDBLOOM WELLNESS LLC

Practice address

13050 SW Barlow Rd
Beaverton, OR 97008-5633

Phone

(714) 482-7922

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By 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

Lielty Geberemariam

Title

Manger

Phone

(714) 482-7922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1366340622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 SW BARLOW RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085633",
            "telephone_number": "714-482-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 SW BARLOW RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085633",
            "telephone_number": "714-482-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBLOOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "GEBEREMARIAM",
        "authorized_official_first_name": "LIELTY",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "714-482-7922"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Mills Watson, MD
• Carrie Ann Mills, BS, LMT
• Claudia Hermila Milon
• Mind & Body Wellness of Beaverton
• Mind Matters PC
• Mindfulness Counseling LLC
• Elizabeth M Minick, MSW
• D'Nise Michele Minor, LMT
• Laura Minthorne, OTD, OTR/L
• Mir Clinic, P.C.

• Mental Illness Community Based Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.