Active NPI
Blooming Wellness LLC
- Professional Counselor
- East Troy, WI
National Provider Identifier
1821929431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jade Elizabeth Fowler, MS, LPC, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Greenfield, WI
- NPI 1366283566
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.