Hallie Bloom

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0000002574 Issued in TN

Practice address

5118 Charlotte Cir N
Memphis, TN 38117-2831

Phone

(901) 283-4601

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Mental and Emotional Resource Center

  • Professional Counselor
  • Memphis, TN
  • NPI 1336910413
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1700587268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 CHARLOTTE CIR N",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172831",
            "telephone_number": "190-128-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 CHARLOTTE CIR N",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172831",
            "telephone_number": "901-283-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "HALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "0000002574",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0000002574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Assurance Homehealth LLC
• Blissful Home (Blissful Home Care)
• Esther Blondeau-Lecomte, MD
• Blood & Marrow Transplant Center
• Daureen K Bloodworth, CRNA
• Robert Bloom, PH.D.
• Blossom LLC
• Blossom Nutrition LLC
• Katherine Elise Blount, M.A., CCC-SLP
• Nicklaus Cole Blue, DMD

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.