Ember & Bloom Health and Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMBER & BLOOM HEALTH AND WELLNESS LLC

Practice address

655 Cherry Tree LN
Uniontown, PA 15401-8947

Phone

(724) 415-9169

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Lynn Grim, LCSWNPI 1265981815

Title

Member

Phone

(724) 963-0580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Erica Grim, LCSW

  • Social Worker
  • Uniontown, PA
  • NPI 1265981815
  Medicare reassignment Care Compare group NPD Authorized official
• Whitney Jean Jordan, LCSW

  • Clinical Social Worker
  • Uniontown, PA
  • NPI 1740687078
  Medicare reassignment Care Compare group NPD
• Tracy A Proctor, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngwood, PA
  • NPI 1306489174
  Medicare reassignment Care Compare group NPD
• Charles Allan Larsen, DPM

  • Podiatrist
  • Monroeville, PA
  • NPI 1063419885

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1780559104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-415-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-415-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER & BLOOM HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "724-963-0580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Marie Egan, LSW
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• Carissa Ann Erenrich, PHYSICAL THERAPIST
• Marissa Erminio
• Steven Eutsey
• Bernadette Evans

• Mental Health Clinic/Center (Including Community Mental Health Center) in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.