Carolyn Faye Bloomfield, CPRS, CDCA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.003271 Issued in OH

Practice address

7911 Detroit Ave
Cleveland, OH 44102-2815

Phone

(216) 334-2876

Fax

(216) 334-2882

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447031018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022815",
            "telephone_number": "216-334-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022815",
            "telephone_number": "216-334-2876",
            "fax_number": "216-334-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "CAROLYN",
        "middle_name": "FAYE",
        "credential": "CPRS, CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.185623",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archelle Bloodworth
• Bloom Health & Wellness LLC
• Carol Bloom, LISW
• Elisheva Bloom
• Linda S Bloom, C.N.M.
• Michael M Bloomfield, MD
• Michael R. Bloomfield, MD
• Blooming Springs Mental Health & Wellness LLC
• Blossom 24 Hour We Care Center, Inc
• Blossom 24 Hour We Care Center, Inc

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.