Organization Active NPI

Bloom Therapy, LLC

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1801716592
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM THERAPY, LLC
Practice address
1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938
Phone
(971) 545-4936
Fax
(971) 250-0133
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Naiyana Chantarabunchorn, PHD, NCC, LPC
Title
Psychotherapist/Owner
Phone
(971) 545-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938

Mailing address

1915 NE Stucki Ave Ste 400
Hillsboro, OR 97006-6938
Phone (971) 545-4936

National Provider Directory

National Provider Directory

Locations

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1801716592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 400",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066938",
            "telephone_number": "971-545-4936",
            "fax_number": "971-250-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 400",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066938",
            "telephone_number": "971-545-4936",
            "fax_number": "971-250-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "CHANTARABUNCHORN",
        "authorized_official_first_name": "NAIYANA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "971-545-4936",
        "authorized_official_credential": "PHD, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.