Bloom Wellness Collective, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM WELLNESS COLLECTIVE, PLLC

Practice address

4541 N Prospect Rd Ste 302
Peoria Heights, IL 61616-6490

Phone

(708) 573-1955

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Devin Henderson, LCSWNPI 1093188070

Title

Member

Phone

(309) 267-6737

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Devin Patricia Henderson, LCSW

  • Social Worker
  • Peoria, IL
  • NPI 1093188070
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1376498345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N PROSPECT RD STE 302",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166490",
            "telephone_number": "309-267-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N PROSPECT RD STE 302",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166490",
            "telephone_number": "708-573-1955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Honey Locust Ave",
            "address_purpose": "LOCATION",
            "city": "East Peoria",
            "state": "IL",
            "postal_code": "616111732",
            "country_code": "US",
            "telephone_number": "309-267-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM WELLNESS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "309-267-6737",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belcrest Services, LTD
• Bess Practice LLC
• Pamella Anne Bess-Tabb, LCSW
• Denise Annette Bess, MA
• Lisa Marie Birdoes, LCPC
• Molly L Blust
• Donald B Braunagel, DDS
• Breaking Barriers Physical Therapy and Adaptive Performance PLLC
• Amber Marian Breitzman, APN
• Olivia M Brinkman, M.A. CCC-SLP

• Clinical Social Worker in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.