Michelle Bloom, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000465 Issued in MA

Practice address

100 Merrimack St Ste 201
Lowell, MA 01852-1707

Phone

(978) 455-0756

Fax

(978) 455-0770

NPI assigned

Feb 23, 2021

Last updated

Jul 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MA

  Medicare reassignment NPD
• Trinity Care Associate

  dba Trinity Care Associates

  • Multi-Specialty Clinic/Center
  • Lowell, MA
  • NPI 1366909665

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1609460468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521707",
            "telephone_number": "978-455-0756",
            "fax_number": "978-455-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST STE 201",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521707",
            "telephone_number": "978-455-0756",
            "fax_number": "978-455-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MICHELLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lowell",
            "affiliation": "N",
            "address_1": "100 Merrimack St Ste 201",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018521707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Blanch
• Andrea Dawn Blanchard
• Trinidad M Blanchet, RN
• BLM Compasionate Care LLC
• Bloom Psychiatric Care LLC
• Juanita Triana Blowers
• Bluesky Homecare Services LLC
• Sidney Rose Blum
• Afia Boahemaah
• Marie Boasman Saunders

• Mental Health Counselor in Lowell, MA
• Providers in Lowell, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.