Active NPI
Nourish & Bloom Therapy LLC
- Mental Health Counselor
- Somerville, NJ
National Provider Identifier
1558268474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NOURISH & BLOOM THERAPY LLC
- Practice address
- 110 Rehill Ave
Somerville, NJ 08876 - Phone
- (862) 259-2892
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Vargas, LPC, ACS
- Title
- Owner
- Phone
- (551) 229-3581
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerville, NJ 08876
Mailing address
155 Willowbrook Blvd Ste 110
Wayne, NJ 07470-7033
Phone (862) 259-2892
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Somerville, NJ
- NPI 1366050908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1558268474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WILLOWBROOK BLVD STE 110",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074707033",
"telephone_number": "862-259-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "08876",
"telephone_number": "862-259-2892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISH & BLOOM THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "VARGAS",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "551-229-3581",
"authorized_official_credential": "LPC, ACS"
},
"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 Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.