Active NPI
Ashley Bloom
- Professional Counselor
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 640101637
- Practice address
- 2510 S Telegraph Rd # L231
Bloomfield Hills, MI 48302-0241 - Phone
- (269) 389-0432
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Professional Counselor | 101YP2500X | 640101637 | MI | Primary |
Addresses
Primary practice location
2510 S Telegraph Rd # L231
Bloomfield Hills, MI 48302-0241
Mailing address
2510 S Telegraph Rd # L231
Bloomfield Hills, MI 48302-0241
Phone (269) 389-0432
Other practice location 1
16569 Congress Dr
Clinton Twp, MI 48038-2773
Phone (586) 719-8929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Bellevue St
Detroit, MI 48207-3675
Phone (269) 389-0432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640101637 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonder Counseling PLC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
2510 S Telegraph Rd
#L231
Bloomfield Hills, MI 48302
Phone (269) 389-0432
1111 Bellevue St
Ofc
Detroit, MI 48207
Phone (269) 389-0432
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1922462415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 S TELEGRAPH RD # L231",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020241",
"telephone_number": "269-389-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 S TELEGRAPH RD # L231",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020241",
"telephone_number": "269-389-0432"
}
],
"practiceLocations": [
{
"address_1": "16569 Congress Dr",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480382773",
"country_code": "US",
"telephone_number": "586-719-8929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOM",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "640101637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.