Organization Active NPI

Bloom Billing & Consulting LLC

  • Mental Health Counselor
  • Fort Wayne, IN
National Provider Identifier
1780500645
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM BILLING & CONSULTING LLC
Practice address
8209 Manor Dr # 119
Fort Wayne, IN 46825-2815
Phone
(512) 648-9943
NPI assigned
Jun 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Makalah Krick, LCSW
Title
Owner
Phone
(512) 648-9943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8209 Manor Dr # 119
Fort Wayne, IN 46825-2815

Mailing address

8209 Manor Dr
Fort Wayne, IN 46825-2815
Phone (512) 648-9943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1780500645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8209 MANOR DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252815",
            "telephone_number": "512-648-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 MANOR DR # 119",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252815",
            "telephone_number": "512-648-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BILLING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KRICK",
        "authorized_official_first_name": "MAKALAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-648-9943",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.