Organization Active NPI

Bond & Bloom

  • Clinical Social Worker
  • Charleston, WV
National Provider Identifier
1447134853
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BOND & BLOOM
Doing business as
Bond & Bloom Mental Health Counseling and Consulting
Practice address
1641 Massey Cir
Charleston, WV 25303-2616
Phone
(864) 251-5171
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Autumn Williamson, LICSW, LISW-CPNPI 1053052670
Title
Mental Health Therapist
Phone
(864) 251-5171

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1641 Massey Cir
Charleston, WV 25303-2616

Mailing address

1641 Massey Cir
Charleston, WV 25303-2616
Phone (864) 251-5171

Other names 1

  • Bond & Bloom Mental Health Counseling and Consulting Doing business as

National Provider Directory

National Provider Directory

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": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1447134853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 MASSEY CIR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253032616",
            "telephone_number": "864-251-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 MASSEY CIR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253032616",
            "telephone_number": "864-251-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND & BLOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "864-251-5171",
        "authorized_official_credential": "LICSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond & Bloom Mental Health Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.