Shana Lee Bloom, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC01342 Issued in RI

Practice address

5 Christopher Rd
Westerly, RI 02891-2675

Phone

(401) 578-1992

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1427708353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHRISTOPHER RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912675",
            "telephone_number": "401-578-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTOPHER RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912675",
            "telephone_number": "401-578-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "SHANA",
        "middle_name": "LEE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHG Lvii, LLC (BHG Westerly Treatment Center)
• BHG Lxxix, LLC (BHG Medical Services - Rhode Island)
• Russell N. Bingham, MD
• Colette Bissonnette
• Jamie Blalock, LMFT
• Alyssa Kay Boardman, LMHC
• Alexis Anne Bobek, APRN
• Peter E. Bolton, M.D.
• Baokim Nguyen Bonelli, PA-C
• Caitlin Elizabeth Bouchard

• Mental Health Counselor in Westerly, RI
• Providers in Westerly, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.