Bloom Therapeutics PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM THERAPEUTICS PLLC

Practice address

131 W Academy St
Asheboro, NC 27203-5648

Phone

(336) 596-6283

Fax

(336) 628-0111

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooklynn Coggins Cole, LCSWNPI 1629615257

Title

Therapist

Phone

(336) 596-6283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooklynn Coggins Cole, MSW, LCSW

  • Clinical Social Worker
  • Asheboro, NC
  • NPI 1629615257
  Medicare reassignment NPD Authorized official
• Tiffany G Blake, LCSW

  • Clinical Social Worker
  • Asheboro, NC
  • NPI 1255708970
  NPD
• Alycia Lassiter

  • Mental Health Counselor
  • Asheboro, NC
  • NPI 1770216038
  NPD (past)
• Rachel Dimaio Swaim, LCMHC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1427675552
  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1467137109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W ACADEMY ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035648",
            "telephone_number": "336-596-6283",
            "fax_number": "336-628-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W ACADEMY ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035648",
            "telephone_number": "336-596-6283",
            "fax_number": "336-628-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BROOKLYNN",
        "authorized_official_middle_name": "COGGINS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "336-596-6283",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blase Chiropractic
• Albert Joseph Blase Jr., DC
• Benjamin John Blase, DC
• Richard Albert Blase, DC
• Roberta Blazzio Bowers, DDS
• Blueprint Counseling
• Blueridge Physicians Group PLLC
• Callie Jean Bodenhamer, LCAS-A
• Anna Katherine Bolliger, LPCA
• Marina Celeste Bonaventura, DDS

• Clinical Social Worker in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.