Organization Active NPI

Bloom Psychotherapy LLC

  • Mental Health Counselor
  • Stoughton, WI
National Provider Identifier
1912845926
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOOM PSYCHOTHERAPY LLC
Practice address
409 W South St
Stoughton, WI 53589-2459
Phone
(608) 492-1301
NPI assigned
Mar 23, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Katherine Cousin, MA, LPC, LMHCNPI 1003214172
Title
Owner/Therapist
Phone
(608) 492-1301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2935 S Fish Hatchery Rd
Ste 334
Fitchburg, WI 53711
Phone (608) 469-6271

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

409 W South St
Stoughton, WI 53589-2459

Mailing address

2935 S Fish Hatchery Rd Ste 334
Fitchburg, WI 53711-6434
Phone (608) 492-1301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2026.

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1912845926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 S FISH HATCHERY RD STE 334",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116434",
            "telephone_number": "608-492-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W SOUTH ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892459",
            "telephone_number": "608-492-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-492-1301",
        "authorized_official_credential": "MA, LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.