Active NPI
Blooming Consultants, PLLC
- Community/Behavioral Health Agency
- Hale, MI
National Provider Identifier
1629440425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6401013153
- Legal business name
- BLOOMING CONSULTANTS, PLLC
- Practice address
- 5969 Laird Lake Rd
Hale, MI 48739-9166 - Phone
- (989) 728-2364
- NPI assigned
- Oct 20, 2015
- Last updated
- Oct 20, 2015
- 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
- Annmarie Shay, MA, LPC
- Title
- Owner/Licensed Professional Counsel
- Phone
- (989) 728-2364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6401013153 | MI | Primary |
Addresses
Primary practice location
5969 Laird Lake Rd
Hale, MI 48739-9166
Mailing address
5969 Laird Lake Rd
Hale, MI 48739-9166
Phone (989) 728-2364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538409149 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Counselor
- Hale, MI
- NPI 1558187849
-
- Professional Counselor
- Grayling, MI
- NPI 1538409149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1629440425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5969 LAIRD LAKE RD",
"city": "HALE",
"state": "MI",
"postal_code": "487399166",
"telephone_number": "989-728-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5969 LAIRD LAKE RD",
"city": "HALE",
"state": "MI",
"postal_code": "487399166",
"telephone_number": "989-728-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMING CONSULTANTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "SHAY",
"authorized_official_first_name": "ANNMARIE",
"authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
"authorized_official_telephone_number": "989-728-2364",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6401013153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538409149",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.