Organization Active NPI

Minds That Bloom LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berea, OH
National Provider Identifier
1881433191
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDS THAT BLOOM LLC
Practice address
105 Front St Ste 202
Berea, OH 44017-1983
Phone
(216) 200-6546
Fax
(440) 848-1897
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Marranda Ann Bennett, M. ED. LPCCNPI 1801404868
Title
Owner, Therapist
Phone
(216) 200-6546

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

105 Front St Ste 202
Berea, OH 44017-1983

Mailing address

105 Front St Ste 202
Berea, OH 44017-1983
Phone (216) 200-6546

National Provider Directory

National Provider Directory

Locations

105 Front St
Ste 202
Berea, OH 44017
Phone (216) 200-6546

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": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1881433191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FRONT ST STE 202",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171983",
            "telephone_number": "216-200-6546",
            "fax_number": "440-848-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRONT ST STE 202",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171983",
            "telephone_number": "216-200-6546",
            "fax_number": "440-848-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS THAT BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARRANDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "216-200-6546",
        "authorized_official_credential": "M. ED. LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.