Katya Bloom

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CAAR.CG.70113537 Issued in WA

Practice address

1336 S 336TH St
Federal Way, WA 98003-6348

Phone

(253) 833-7444

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Basics NW LLC

  • Behavior Analyst
  • Raymond, WA
  • NPI 1073864849
  NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1972240844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444",
            "fax_number": "253-661-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 S 336TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036348",
            "telephone_number": "253-833-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 6th St",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "WA",
            "postal_code": "985772503",
            "country_code": "US",
            "telephone_number": "360-915-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KATYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CAAR.CG.70113537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2392487",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Blankenship
• Baylee Ray Blanton, LMHCA
• Michelle Blasko, LMP
• BLC Federal Way LH, LLC
• Deborah Bloom, PSYD
• Blue Rose Behavioral Consulting
• Blue Spring Chiropractic P.S. Inc
• Barbara Blywise, MA, LMHC
• Carson Lou Board, LMP
• Rachel Sunmi Bock, FNP-C

• Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.