Active NPI
Bloom Neurotherapy and Counseling LLC
- Professional Counselor
- Worthington, OH
National Provider Identifier
1821913633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BLOOM NEUROTHERAPY AND COUNSELING LLC
- Practice address
- 6797 N High St Ste 223
Worthington, OH 43085-2533 - Phone
- (614) 505-9041
- Fax
- (614) 412-5572
- NPI assigned
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Marie Gottfried, LPCC-S
- Title
- Owner/Therapist
- Phone
- (614) 505-9041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6797 N High St Ste 223
Worthington, OH 43085-2533
Mailing address
6797 N High St Ste 223
Worthington, OH 43085-2533
Phone (614) 505-9041
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1821913633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 N HIGH ST STE 223",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852533",
"telephone_number": "614-505-9041",
"fax_number": "614-412-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6797 N HIGH ST STE 223",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852533",
"telephone_number": "614-505-9041",
"fax_number": "614-412-5572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM NEUROTHERAPY AND COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "GOTTFRIED",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "614-505-9041",
"authorized_official_credential": "LPCC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.