Bloom Professional Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM PROFESSIONAL COUNSELING PLLC

Practice address

11999 Katy Fwy Ste 450
Houston, TX 77079-1627

Phone

(612) 246-7469

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By 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

Ms. Macie Lea Babo, MA LPCNPI 1053083642

Title

Managing Member

Phone

(612) 246-7469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Christian L Babo, PSY D, LP

  • Counseling Psychologist
  • Plymouth, MN
  • NPI 1003809856

  TX

  Medicare reassignment NPD
• Macie Lea Babo, LPC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1053083642
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1467223792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 WOODLAND SPRINGS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776302",
            "telephone_number": "612-246-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY STE 450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791627",
            "telephone_number": "612-246-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PROFESSIONAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "BABO",
        "authorized_official_first_name": "MACIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "612-246-7469",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Chiropractic & Wellness Center (Bloom Chiropractic)
• Bloom Counseling & Family Services
• Bloom Counseling & Family Services Corporation
• Bloom Hospice LLC
• Bloom Medical Care, LLC
• Bloom Therapy Collective PLLC
• Bloom Wound and Wellness Institute
• Alexi Bloom
• Carl Bloom, D.M.D.
• Douglas Randal Bloom, PHD

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.