Blooming Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLOOMING THERAPY LLC

Practice address

21645 Highview St
Clinton TWP, MI 48036-3736

Phone

(586) 438-6411

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Brian Mendoza

Title

Administrator

Phone

(630) 632-5822

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julie G Middlin, AT/ATC, CSCS, CES

  • Counselor
  • Clinton TWP, MI
  • NPI 1417004862

  Professional

  NPD (past)
• Jaclyn Myers, LMSW

  • Social Worker
  • Clinton Township, MI
  • NPI 1023405032
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1992572952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21645 HIGHVIEW ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363736",
            "telephone_number": "586-438-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21645 HIGHVIEW ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363736",
            "telephone_number": "586-438-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-632-5822"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenay Binionscott
• Samuel Gregg Blanchard, D.D.S., M.S.
• Lawrence R Blaty, M.D.
• Julie Blazejewski, B.S.
• Alexandra Bloom, RN, FNP-BC
• April Blossom, COTA/L
• Blue Water Home Health Care, Inc.
• Joanne Blum, CSW
• Sharon Blum, CSW
• Arantxa Boby, P.T.

• Professional Counselor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.