Organization Active NPI

Bloom Joy LLC

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1932020112
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOM JOY LLC
Practice address
2006 S Main St Ste 204
Wake Forest, NC 27587-9391
Phone
(919) 699-5692
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Colleen Miriah Emmett, LCSW
Title
Owner/Therapist
Phone
(919) 699-5962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2006 S Main St Ste 204
Wake Forest, NC 27587-9391

Mailing address

9208 Leaning Post Rd
Wake Forest, NC 27587-3592
Phone (919) 699-5962

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1932020112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 LEANING POST RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873592",
            "telephone_number": "919-699-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE 204",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879391",
            "telephone_number": "919-699-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM JOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MIRIAH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-699-5962",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

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