Organization Active NPI

Ibloom Therapy Inc.,

  • Professional Counselor
  • Oceanside, CA
National Provider Identifier
1952131856
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IBLOOM THERAPY INC.,
Practice address
3699 Barnard Dr Apt 521
Oceanside, CA 92056-4003
Phone
(760) 521-6113
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Nina Careri, LPCCNPI 1467114900
Title
Ceo
Phone
(760) 521-6113

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3699 Barnard Dr Apt 521
Oceanside, CA 92056-4003

Mailing address

4140 Oceanside Blvd Ste 159 PMB 2002
Oceanside, CA 92056-6005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1952131856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 OCEANSIDE BLVD STE 159 PMB 2002",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 BARNARD DR APT 521",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564003",
            "telephone_number": "760-521-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBLOOM THERAPY INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "CARERI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-521-6113",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.