Organization Active NPI

Bloom to Vitality Therapy, LLC

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1831079839
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOM TO VITALITY THERAPY, LLC
Practice address
1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone
(724) 300-3521
NPI assigned
Sep 3, 2025
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Michelle Lombardo, LCSWNPI 1184041410
Title
Owner
Phone
(724) 300-3521

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501

Mailing address

1961 Shenango Valley Fwy Lowr Level
Hermitage, PA 16148-2501
Phone (724) 300-3521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251230002960 PA Part B Supplier - Clinic/Group Practice 3375039274 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, PA

National Provider Directory

National Provider Directory

Locations

1961 Shenango Valley Fwy
Lowr
Hermitage, PA 16148
Phone (717) 862-5956

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1831079839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 SHENANGO VALLEY FWY LOWR LEVEL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482501",
            "telephone_number": "724-300-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 SHENANGO VALLEY FWY LOWR LEVEL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482501",
            "telephone_number": "724-300-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM TO VITALITY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-300-3521",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.