Organization Active NPI

The Everbloom Institute, Inc.

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1407793565
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE EVERBLOOM INSTITUTE, INC.
Practice address
320 N Broadway Ste 104
Edmond, OK 73034-3642
Phone
(405) 653-8012
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Tara Ann Smith, ED.S, LPCNPI 1083057566
Title
Director
Phone
(405) 653-7269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

320 N Broadway Ste 104
Edmond, OK 73034-3642

Mailing address

320 N Broadway Ste 104
Edmond, OK 73034-3642
Phone (405) 653-8012

National Provider Directory

National Provider Directory

Locations

320 N Broadway
Ste 104
Edmond, OK 73034
Phone (405) 653-8012

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1407793565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N BROADWAY STE 104",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343642",
            "telephone_number": "405-653-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N BROADWAY STE 104",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343642",
            "telephone_number": "405-653-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVERBLOOM INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-653-7269",
        "authorized_official_credential": "ED.S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.