Bloom Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5606-125 Issued in WI

Legal business name

BLOOM COUNSELING LLC

Practice address

510 Hartbrook Dr Ste 201
Hartland, WI 53029-1444

Phone

(262) 528-2015

Fax

(866) 284-8107

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Miss E Lee Garza, LPC

Title

Partner Counselor

Phone

(262) 528-2015

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Erika Lee Garza, MA, LPC

  • Professional Counselor
  • Hartland, WI
  • NPI 1669706107
  NPD (past)
• Terese Kraemer

  • Professional Counselor
  • Hartland, WI
  • NPI 1417349630
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1528442464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HARTBROOK DR STE 201",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291444",
            "telephone_number": "262-528-2015",
            "fax_number": "866-284-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HARTBROOK DR STE 201",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291444",
            "telephone_number": "262-528-2015",
            "fax_number": "866-284-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER  COUNSELOR",
        "authorized_official_telephone_number": "262-528-2015",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5606-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042870",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100045001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100027690",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerin Dianna Baumann
• Melinda Belger, RN
• Curt Bertram, CPO
• Barbara Binder, MSW, LCSW
• Daniel R Bird, M.S, LPC, CADC
• Bluedot LLC
• Body in Balance Physical Therapy, LLC
• Vincent Borkowski, MD, PHD
• Lauren K Bremberger, M.D.
• Katherine Ann Brewer, PT

• Professional Counselor in Hartland, WI
• Providers in Hartland, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.