Organization Active NPI

Bloom Counseling

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1902453988
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM COUNSELING
Practice address
315 S 9TH St Ste 122
Lincoln, NE 68508-2283
Phone
(531) 500-3759
Fax
(531) 500-5836
NPI assigned
Aug 23, 2019
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Sarah Kirkwood, LIMHP, LADCNPI 1083070130
Title
Therapist
Phone
(531) 500-3759

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

315 S 9TH St Ste 122
Lincoln, NE 68508-2283

Mailing address

315 S 9TH St Ste 122
Lincoln, NE 68508-2283
Phone (531) 500-3759

Other identifiers 1

IdentifierTypeStateIssuer
1447798731MedicaidNE

National Provider Directory

National Provider Directory

Locations

315 S 9th St
Ste 122
Lincoln, NE 68508
Phone (402) 560-2493

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": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1902453988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S 9TH ST STE 122",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082283",
            "telephone_number": "531-500-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S 9TH ST STE 122",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082283",
            "telephone_number": "531-500-3759",
            "fax_number": "531-500-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "531-500-3759",
        "authorized_official_credential": "LIMHP, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447798731",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.