Organization Active NPI

Blooming Wellness LLC

  • Professional Counselor
  • East Troy, WI
National Provider Identifier
1821929431
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLOOMING WELLNESS LLC
Practice address
N8030 Townline Rd
East Troy, WI 53120-3500
Phone
(262) 228-8931
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Jade Elizabeth Fowler, MS, LPC, NCCNPI 1366283566
Title
President
Phone
(608) 772-9895

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

N8030 Townline Rd
East Troy, WI 53120-3500

Mailing address

12581 Duncan LN Unit 103
New Berlin, WI 53151-8796
Phone (262) 228-8931

National Provider Directory

National Provider Directory

Locations

N8030 Townline Rd
East Troy, WI 53120
Phone (262) 228-8931

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": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1821929431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 DUNCAN LN UNIT 103",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518796",
            "telephone_number": "262-228-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8030 TOWNLINE RD",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531203500",
            "telephone_number": "262-228-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-772-9895",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "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 East Troy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.