Beautiful Bloom Counseling & Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BEAUTIFUL BLOOM COUNSELING & CONSULTING LLC

Doing business as

Beautiful Bloom Counseling & Consulting LLC

Practice address

3485 McEver Rd Ste 205
Gainesville, GA 30504-5542

Phone

(770) 450-9900

Fax

(770) 450-9300

NPI assigned

Feb 9, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Dodson, LPC, CPCSNPI 1336528520

Title

Therapist/Owner

Phone

(770) 262-1311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beautiful Bloom Counseling & Consulting LLC Doing business as

Locations

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.

• Kelley Dodson, LPC, CPCS

  • Professional Counselor
  • Gainesville, GA
  • NPI 1336528520
  NPD Authorized official

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1972257772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 MCEVER RD STE 205",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045542",
            "telephone_number": "770-450-9900",
            "fax_number": "770-450-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MCEVER RD STE 205",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045542",
            "telephone_number": "770-450-9900",
            "fax_number": "770-450-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL BLOOM COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "770-262-1311",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209993A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Bloom Counseling & Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Robert Bearup, CAA
• Jesse Blake Beasley, CCC-SLP
• Whitney Buchanan Beaton, PT
• Tamara Christianne Beaty, D.C.
• Samantha Rae Beauchamp, DO
• Joshua Brian Becher, PHARM.D.
• Jessica Beck, CAA
• Ghazal Becker, DO
• James William Becker, PA-C
• Bruce Myron Beckham, D.M.D.

• Professional Counselor in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.