Bloom Mindfully Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM MINDFULLY COUNSELING PLLC

Practice address

281 Hartford Tpke Ste 104
Vernon, CT 06066-4760

Phone

(860) 248-6284

NPI assigned

Feb 21, 2025

Organization subpart

No

Name

Mackenzie Phelps, LCSWNPI 1487254892

Title

Owner/Clinician

Phone

(860) 248-6284

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

• Mackenzie Phelps, LCSW

  • Clinical Social Worker
  • Vernon, CT
  • NPI 1487254892

  Clinical

  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2026.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778976000000",
    "number": "1376349043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MEADOWLARK RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664310",
            "telephone_number": "860-248-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 104",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664760",
            "telephone_number": "860-248-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MINDFULLY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "860-248-6284",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Delaney Bernard, RDN
• Kumeh Bestman, LCSW
• Beyond Wellness Healthcare PLLC
• Luke Anthony Blanco, D.C.
• Amy M Blazawski, MSW, LCSW
• Allison Blunt
• Stacey Boisselle, LPC
• Vickie Boivin, PHARMD.
• Bolbol LLC
• Erica Yvonne Bower, MS ED. LPC

• All providers in Vernon, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.