Active NPI
Linda Cooper Bloom, LCSW
- Marriage & Family Therapist
- Santa Cruz, CA
National Provider Identifier
1407048333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCS10048
- Practice address
- 682 Nobel Dr
Santa Cruz, CA 95060-3120 - Phone
- (831) 421-9822
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LCS10048 | MA | Primary |
Addresses
Primary practice location
682 Nobel Dr
Santa Cruz, CA 95060-3120
Mailing address
682 Nobel Dr
Santa Cruz, CA 95060-3120
Phone (831) 421-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10048 | MA | MD | Marriage & Family Therapist |
| 10048 | CA | MD | Human Factors Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1407048333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 NOBEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603120",
"telephone_number": "831-421-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 NOBEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603120",
"telephone_number": "831-421-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "LINDA",
"middle_name": "COOPER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "LCS10048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.