Alexis Bloomfield, PLMHP
Individual provider Active NPI Mental Health Counselor · Grand Island, NE
NPI 1679270656 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1679270656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13315 (NE)
- Practice address
- 2815 S Locust St
Grand Island, NE 68801-8861 - Phone
- (308) 398-0350
- NPI assigned
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2815 S Locust
Grand Island, NE 68801-8861
2815 S Locust St
Grand Island, NE 68801-8861
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260406000102 | NE | Practitioner - Mental Health Counselor | 0547735870 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13315 | NE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13315 | NE | Yes |
Addresses
Primary practice location
2815 S Locust St
Grand Island, NE 68801-8861
Mailing address
2815 S Locust St
Grand Island, NE 68801-8861
Phone (308) 398-0350
Other providers in Grand Island, NE
- Savannah Marie Blanke
- Samantha Lee Blase
- Allison Blauhorn-Cooper
- Shelley Ann Blodgett
- Kayla Blomstedt
- Blossoming Hope Counseling and Support Services LLC
- Anita M Blum
- Chelsie Blunt
- Angela Boersen
- Sheila Bogart
All providers in Grand Island, NE · Mental Health Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.