Organization Active NPI

Bloom Counseling Services, PLLC

  • Mental Health Counselor
  • Lenoir, NC
National Provider Identifier
1558066944
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM COUNSELING SERVICES, PLLC
Practice address
215 Church St NW Ste 103
Lenoir, NC 28645-5116
Phone
(828) 406-3070
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Heather Taylor, LCMHCNPI 1558979609
Title
Practice Owner/Clinician
Phone
(828) 406-3070

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

215 Church St NW Ste 103
Lenoir, NC 28645-5116

Mailing address

215 Church St NW Ste 103
Lenoir, NC 28645-5116
Phone (828) 406-3070

National Provider Directory

National Provider Directory

Locations

215 Church St NW
Ste 103
Lenoir, NC 28645
Phone (828) 406-3070

Practitioners & affiliated clinicians

Practitioners 2

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1558066944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CHURCH ST NW STE 103",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455116",
            "telephone_number": "828-406-3070",
            "fax_number": "828-579-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CHURCH ST NW STE 103",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455116",
            "telephone_number": "828-406-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE OWNER/CLINICIAN",
        "authorized_official_telephone_number": "828-406-3070",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.