Samantha Margaret Bloom, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI1154 Issued in NV

Practice address

2920 N Green Valley Pkwy Ste 321
Henderson, NV 89014-0412

Phone

(702) 825-5237

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Health LLCGroup PAC ID 1850882457, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foothills Health LLC

  • Mental Health Counselor
  • Aurora, CO
  • NPI 1932087897
  Medicare reassignment Care Compare group
• Foothills Health LLC

  • Mental Health Counselor
  • Lakewood, CO
  • NPI 1750095550
  NPD
• Next Chapter Therapy LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1992167662
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1699236190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 EVENING SONG AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124465",
            "telephone_number": "847-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N GREEN VALLEY PKWY STE 321",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140412",
            "telephone_number": "702-825-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "SAMANTHA",
        "middle_name": "MARGARET",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Michelle Blankenship, MS, LMFT-I, LCADC-I
• Amy Blazejewski, DMD
• Irene Blockmon
• Heather Marie Blondin, DO
• Rachel Bloom, MS, CCC-SLP
• Blooming Psyche Therapy LLC
• Allyson Blum
• Laureen Blum
• Theresa Magdalen Blumfelder, M.D.
• BMX Health LLC

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.