Bloom Studio and Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOOM STUDIO AND COUNSELING SERVICES LLC

Practice address

1605 Southcross Dr W Ste 100
Burnsville, MN 55306-7013

Phone

(612) 963-4242

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Elliesha Hahn, MA, LPCC, ATRNPI 1720746589

Title

Owner

Phone

(612) 963-4242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Elliesha Hahn, MA

  • Mental Health Counselor
  • St Louis Park, MN
  • NPI 1720746589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1689427775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8547 GROVE CIR",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798096",
            "telephone_number": "612-963-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 SOUTHCROSS DR W STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067013",
            "telephone_number": "612-963-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM STUDIO AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "ELLIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-963-4242",
        "authorized_official_credential": "MA, LPCC, ATR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bleninger
• Blitzen Hauling, LLC
• Katherine Blomquist, DO
• Bloom Chiropractic Center PA
• Bloom Early Intervention Center LLC
• Jody Lee Bloom
• Kathleen Ann Bloom, D.C.
• Jerry Blume, LICSW
• Sienna Alice Boeckman
• Lisa Lynn Boeser, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.