NPIMap

Organization Active NPI

Bloom Mental Health Foundation

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1851042766
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOM MENTAL HEALTH FOUNDATION
Doing business as
Bloom Mental Health Foundation
Practice address
1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392
Phone
(757) 912-0010
Fax
(757) 578-9119
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Mrs. Carli Papas-Pasco, LCSWNPI 1427392588
Title
Board Member
Phone
(757) 912-0010

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392

Mailing address

1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392
Phone (757) 912-0010

Other names 1

  • Bloom Mental Health Foundation Doing business as

National Provider Directory

National Provider Directory

Locations

1303 Mount Vernon Ave
Williamsburg, VA 23185
Phone (757) 378-3952

Practitioners & affiliated clinicians

Practitioners 5

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": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1851042766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-912-0010",
            "fax_number": "757-578-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-912-0010",
            "fax_number": "757-578-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MENTAL HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "PAPAS-PASCO",
        "authorized_official_first_name": "CARLI",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "757-912-0010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "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": [
        {
            "organization_name": "Bloom Mental Health Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom Mental Health Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.