Individual provider Active NPI

Ashley Bloom

  • Professional Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1922462415
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
640101637 Issued in MI
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

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102001493 MI Practitioner - Mental Health Counselor 9335599471 Reassigns benefits to 2 organizations

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
Sonder Counseling PLCGroup PAC ID 4789048935, 4 clinicians

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

LicenseStateTypeSpecialty
640101637MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sonder Counseling PLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Oct 21, 2025 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

Verify at the official NPI Registry.