Internally Bloom LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INTERNALLY BLOOM LLC

Practice address

5004 S U St Ste 200
Fort Smith, AR 72903-3600

Phone

(479) 888-8234

Fax

(479) 888-8234

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Lisa Sisco, LPCNPI 1750828133

Title

Owner/Manager/Provider

Phone

(479) 888-8234

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Sisco, LPC

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1750828133

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1801738307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 S U ST STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033600",
            "telephone_number": "479-888-8234",
            "fax_number": "479-888-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 S U ST STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033600",
            "telephone_number": "479-888-8234",
            "fax_number": "479-888-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNALLY BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/MANAGER/PROVIDER",
        "authorized_official_telephone_number": "479-888-8234",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph N Ingram, MD
• Kennith Inklebarger
• Inner Peace Wellness Center Inc.
• Institute for the Creative Arts
• Institute for the Creative Arts
• Jessica Irgens, RDN
• Katherine A Irish-Clardy, M.D.
• Jacquelyn Renee Isaacs
• Rehan Ishaque, MD
• Tahiya Islam, PA-C

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.