Bloom Counseling and Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM COUNSELING AND THERAPY

Practice address

1101 Ritter St Unit 302
North Aurora, IL 60542-8975

Phone

(224) 875-1975

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Sarah Lynn Blomquist, LCSWNPI 1346889144

Title

Owner

Phone

(224) 875-1975

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Lynn Blomquist, LCSW

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1346889144
  NPD Authorized official

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1558087189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RITTER ST UNIT 302",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605428975",
            "telephone_number": "224-875-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RITTER ST UNIT 302",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605428975",
            "telephone_number": "224-875-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BLOMQUIST",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-875-1975",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.stcharlesadvancedtherapy.com",
            "affiliation": "N",
            "endpointDescription": "https://www.stcharlesadvancedtherapy.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.stcharlesadvancedtherapy.com",
            "address_1": "1101 Ritter St Unit 302",
            "city": "North Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605428975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.