Individual provider Active NPI

Roni Jo Fraizer

  • Rehabilitation Counselor
  • Cedar Park, TX
National Provider Identifier
1477197754
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
2901 Caballo Ranch Blvd Ste 2a
Cedar Park, TX 78641-4637
Phone
(512) 537-1661
Fax
(512) 729-0404
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

2901 Caballo Ranch Blvd Ste 2a
Cedar Park, TX 78641-4637

Mailing address

3001 Joe Dimaggio Blvd Ste 800
Round Rock, TX 78665-3974
Phone (512) 639-9748

Other practice location 1

3001 Joe DiMaggio Blvd Ste 800
Round Rock, TX 78665-3974
Phone (512) 639-9748

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rfrazier@bloomconsultingco.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Consulting, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

2901 Caballo Ranch Blvd
Ste 2A
Cedar Park, TX 78641
Phone (512) 537-1661

3001 Joe Dimaggio Blvd
Ste 800
Round Rock, TX 78665
Phone (281) 778-9530

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1477197754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 JOE DIMAGGIO BLVD STE 800",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653974",
            "telephone_number": "512-639-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CABALLO RANCH BLVD STE 2A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786414637",
            "telephone_number": "512-537-1661",
            "fax_number": "512-729-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Joe DiMaggio Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653974",
            "country_code": "US",
            "telephone_number": "512-639-9748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAIZER",
        "first_name": "RONI",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfrazier@bloomconsultingco.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 Caballo Ranch Blvd Ste 2A",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786414637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.