In Full Bloom Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IN FULL BLOOM COUNSELING

Practice address

108 Camellia Dr
Cape Girardeau, MO 63703

Phone

(573) 271-0785

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Johnson, M.A. LPCCNPI 1184975682

Title

Owner

Phone

(573) 271-0785

Specialties & licenses 1

Addresses

Locations

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.

• Kristina Nichole Johnson

  • Professional Counselor
  • Louisa, KY
  • NPI 1184975682

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1871372326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 NEW HOLT ROAD",
            "address_2": "STE D PMB #326",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "573-271-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CAMELLIA DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-271-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FULL BLOOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-271-0785",
        "authorized_official_credential": "M.A. LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew B Hyatt, DO
• Jared McKenzy Hyler, ATC, LAT
• Immediate Convenient Care LLC
• Immediate Healthcare Kings Highway
• Immediate Healthcare, Inc.
• Infinity Counseling
• Integrity Medical Supply
• Internal Medicine Group of Cape Girardeau, Inc. (Cape Girardeau Physician Associates)
• Invein LLC
• Doris Irvin

• Mental Health Counselor in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.