Organization Active NPI

In Bloom Counseling and Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
National Provider Identifier
1801782842
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IN BLOOM COUNSELING AND THERAPY SERVICES, LLC
Practice address
1840 S Walnut St Ste 108
Bloomington, IN 47401-7732
Phone
(812) 318-1129
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Brynn ParkinsonNPI 1134912314
Title
Owner/Manager/Therapist
Phone
(812) 318-1129

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1840 S Walnut St Ste 108
Bloomington, IN 47401-7732

Mailing address

1840 S Walnut St Ste 108
Bloomington, IN 47401-7732
Phone (812) 318-1129

National Provider Directory

National Provider Directory

Locations

1840 S Walnut St
Ste 108
Bloomington, IN 47401
Phone (812) 318-1129

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1801782842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S WALNUT ST STE 108",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017732",
            "telephone_number": "812-318-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S WALNUT ST STE 108",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017732",
            "telephone_number": "812-318-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BLOOM COUNSELING AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "BRYNN",
        "authorized_official_title_or_position": "OWNER/MANAGER/THERAPIST",
        "authorized_official_telephone_number": "812-318-1129"
    },
    "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": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.