Active NPI
In Bloom Counseling, PLLC
- Adolescent and Children Mental Health Clinic/Center
- Deerfield, IL
National Provider Identifier
1700537743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- IN BLOOM COUNSELING, PLLC
- Practice address
- 570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953 - Phone
- (727) 237-6735
- NPI assigned
- Jan 11, 2022
- 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
- Jessica Bloom, LCPC
- Title
- Owner
- Phone
- (847) 901-3323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953
Mailing address
570 Lake Cook Rd Ste 117
Deerfield, IL 60015-4953
Phone (847) 901-3323
National Provider Directory
National Provider DirectoryLocations
570 Lake Cook Rd
Ste 117
Deerfield, IL 60015
Phone (727) 237-6735
3633 W Lake Ave
Ste 308
Glenview, IL 60026
Phone (727) 474-1588
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Deerfield, IL
- NPI 1144633520
-
- Professional Counselor
- Glenview, IL
- NPI 1730959743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1700537743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 LAKE COOK RD STE 117",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154953",
"telephone_number": "847-901-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 LAKE COOK RD STE 117",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154953",
"telephone_number": "727-237-6735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN BLOOM COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-901-3323",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, 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": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.