Bloom Integrative Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOM INTEGRATIVE THERAPY

Practice address

250 W Bobwhite CT Ste 225
Boise, ID 83706-6601

Phone

(208) 495-4068

NPI assigned

Aug 24, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justine Graham-Herbert, LCPCNPI 1639822349

Title

Owner

Phone

(208) 495-4068

Specialties & licenses 1

Addresses

Locations

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.

• Justine Graham Herbert

  • Mental Health Counselor
  • Boise, ID
  • NPI 1639822349

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1609782069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9169 W STATE ST STE 486",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BOBWHITE CT STE 225",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066601",
            "telephone_number": "208-495-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM-HERBERT",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-495-4068",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Blomquist
• Cara Lorena Bloodworth, NNP
• Bloom Children's Developmental Services, LLC
• Bloom Counseling and Consulting
• Bloom Idaho LLC (AFC Urgent Care)
• Bloom Speech and Voice Therapy LLC
• Lance Elden Bloom, O.D.
• Tia Bloom, PHARMD
• Fred Bloomquist, RRT
• Blossom Counseling

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.