Bloom & Balance, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOOM & BALANCE, PLLC

Practice address

5 N Lafayette St Ste 3
Shelby, NC 28150-5687

Phone

(980) 552-9374

Fax

(980) 552-9275

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Ashtin Dicochea, LCSWNPI 1598130692

Title

Owner

Phone

(910) 705-1698

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Ashtin Kasey Dicochea, LCSW

  • Clinical Social Worker
  • Gastonia, NC
  • NPI 1598130692
  Medicare reassignment NPD Authorized official
• Donna Renee Adams, MA, LCMHCA

  • Mental Health Counselor
  • Shelby, NC
  • NPI 1194372490
  Medicare reassignment NPD
• Dawn Earwood Beck, LCSW

  • Clinical Social Worker
  • Shelby, NC
  • NPI 1376978494
  Medicare reassignment NPD
• Toni Jones, LCSW

  • Clinical Social Worker
  • Shelby, NC
  • NPI 1306352604
  Medicare reassignment NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1932739166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N LAFAYETTE ST STE 3",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505687",
            "telephone_number": "910-705-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N LAFAYETTE ST STE 3",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505687",
            "telephone_number": "980-552-9374",
            "fax_number": "980-552-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & BALANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DICOCHEA",
        "authorized_official_first_name": "ASHTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-705-1698",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darin Lyle Blanton, CRNA
• Erica Deametrius Blanton
• Kassidy Shea Blanton, FNP
• Romelle Blanton, LCMHC-A
• Stephanie Blanton, PA
• Bloom a New Day Mental Health PLLC
• Blue Peak Life Recovery LLC
• Jiselle Marie Bock, MD
• Stephen J Bogan, M.D.
• Cynthia Fay Bohacek, FNP

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.