Desert Bloom Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DESERT BLOOM COUNSELING, PLLC

Practice address

2755 Silver Creek Rd Ste 203
Bullhead City, AZ 86442-8347

Phone

(928) 299-2678

Fax

(928) 350-6405

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Staggs, MSW, LCSW

Title

Owner/Therapist

Phone

(928) 299-2678

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1396452900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 203",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428347",
            "telephone_number": "928-299-2678",
            "fax_number": "928-350-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 203",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428347",
            "telephone_number": "928-299-2678",
            "fax_number": "928-350-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BLOOM COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "STAGGS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "928-299-2678",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.