Bloom Family Services NFP

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BLOOM FAMILY SERVICES NFP

Practice address

1701 S 1St Ave Ste 204C
Maywood, IL 60153-2400

Phone

(773) 676-6900

NPI assigned

Jun 2, 2026

Organization subpart

No

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

Authorized official

Name

Lakita Lakita KentNPI 1841169802

Title

Executive Director

Phone

(773) 676-9600

Specialties & licenses 2

Addresses

Tax ID family

Bloom Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bloom Family Services

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1689542839
  NPD tax ID

Locations

Practitioners 1

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

• Lakita Lakita Kent

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1841169802
  NPD Authorized official

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1619809738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S 1ST AVE STE 204C",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532400",
            "telephone_number": "773-676-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 1ST AVE STE 204C",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532400",
            "telephone_number": "773-676-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FAMILY SERVICES NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "LAKITA",
        "authorized_official_middle_name": "LAKITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-676-9600"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace R Blank, AU.D.
• Lindsay Blazek, PA-C
• Matthew J. Blecha, M.D.
• Alec Block
• Cole Block, DO
• Jamie Kading Blue, MD
• James Boblick, MD
• John Boblick, MD
• Kevin Boblick, M.D.
• William Boblick, MD

• Adolescent and Children Mental Health Clinic/Center in Maywood, IL
• Providers in Maywood, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.