Organization Active NPI

Bloom Speech Therapy

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1952267007
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOM SPEECH THERAPY
Practice address
900B S Walton Blvd Ste 1B
Bentonville, AR 72712-6360
Phone
(870) 489-7934
NPI assigned
Jan 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Authorized official

Name
Lauren Mincy, M.S. CCC-SLPNPI 1306376025
Title
Speech Language Pathologist
Phone
(870) 489-7934

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

900B S Walton Blvd Ste 1B
Bentonville, AR 72712-6360

Mailing address

8 Smalley LN
Bella Vista, AR 72715-4940
Phone (870) 489-7934

National Provider Directory

National Provider Directory

Locations

900B S Walton Blvd
Ste 1B
Bentonville, AR 72712
Phone (870) 489-7934

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771113600000",
    "number": "1952267007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SMALLEY LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727154940",
            "telephone_number": "870-489-7934",
            "fax_number": "844-692-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900B S WALTON BLVD STE 1B",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126360",
            "telephone_number": "870-489-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A",
        "authorized_official_last_name": "MINCY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "870-489-7934",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.