Organization Active NPI

Blooming Behavioral Health

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1821840174
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLOOMING BEHAVIORAL HEALTH
Practice address
775 Bridge Hollow Rd Unit D
Somerset, KY 42503-6389
Phone
(606) 687-1427
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Amber D Coyle, LPCC
Title
Owner
Phone
(606) 687-1427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

775 Bridge Hollow Rd Unit D
Somerset, KY 42503-6389

Mailing address

775 Bridge Hollow Rd Unit D
Somerset, KY 42503-6389
Phone (606) 687-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250131003097 KY Part B Supplier - Clinic/Group Practice 6103355334 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Somerset, KY; Louisville, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Blooming Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1821840174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 BRIDGE HOLLOW RD UNIT D",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036389",
            "telephone_number": "606-687-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BRIDGE HOLLOW RD UNIT D",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036389",
            "telephone_number": "606-687-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-687-1427",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.