Organization Active NPI

Neurobloom Counseling PLLC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1710844048
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEUROBLOOM COUNSELING PLLC
Practice address
12305 Kendall Ridge CT
Durham, NC 27703-8541
Phone
(919) 537-9763
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Stephens Cherry, MS, CRC, LCMHCNPI 1043883085
Title
Practice Owner
Phone
(910) 619-9757

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12305 Kendall Ridge CT
Durham, NC 27703-8541

Mailing address

12305 Kendall Ridge CT
Durham, NC 27703-8541
Phone (919) 537-9763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1710844048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038541",
            "telephone_number": "919-537-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038541",
            "telephone_number": "919-537-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBLOOM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "STEPHENS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "910-619-9757",
        "authorized_official_credential": "MS, CRC, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.