Melissa Anne Bloom

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10001646 Issued in MA

Practice address

7 Joseph St # 7R
Somerville, MA 02143-3959

Phone

(617) 863-7162

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa Bloom LMHC, LLC

  • Adult Mental Health Clinic/Center
  • Somerville, MA
  • NPI 1417771775
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1417575390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JOSEPH ST UNIT 7R",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433959",
            "telephone_number": "561-445-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 JOSEPH ST # 7R",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433959",
            "telephone_number": "617-863-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Blake
• Madison Blake
• Jessamyn Blau, MD
• Louis A Bley, MD
• Johnnie Bloom, LPN
• Hannah Bluhm
• Monia Bodenmueller
• Leslie Jane Bodkin, MS, OTR/L, CEIS
• Andrea Boerding
• Adi Bojic

• Mental Health Counselor in Somerville, MA
• Providers in Somerville, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.