IN BLOOM COUNSELING, LLC (NPI# 1154856078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154856078 |
Entity Type | Organization |
Organization Name | IN BLOOM COUNSELING, LLC |
Practice Address |
22 Pine St Suite 205 Bristol CT 06010-6948 |
Practice Telephone | 2036261605 |
Mailing Telephone | 2036261605 |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-04-28 |
Authorized Official Name | DEANNA JOHNSON (OWNER) |
Authorized Official Telephone | 2037476980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
1569 | CT | Behavioral Health & Social Service Providers |
Street Address |
22 PINE ST SUITE 205 |
City | BRISTOL |
State | CT |
Zip Code | 06010-6948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548225527 | Joseph Marakovits | Internal Medicine | 22 Pine St, Suite 304, Bristol, CT 06010-6948 | 2006-04-20 |
1669822532 | Kristin Somerville | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-21 |
1528418720 | Melissa Dukich | Clinic/Center | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-18 |
1467801605 | Kayla Nicole Kennedy | Physician Assistant | 22 Pine St, Suite 104, Bristol, CT 06010-6948 | 2016-06-08 |
1801257266 | Emily Lynch | Social Worker | 22 Pine St, Bristol, CT 06010-6948 | 2016-03-14 |
1104228022 | Christopher Tagliavini | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2014-09-23 |
1245631662 | Stephanie Milan | Psychologist | 22 Pine St, Suite 205, Bristol, CT 06010-6948 | 2014-09-05 |
1720491087 | Introspective Counseling LLC | Marriage & Family Therapist | 22 Pine St, Suite 205, Bristol, CT 06010-6948 | 2014-06-04 |
1306124409 | Deanna Johnson | Counselor | 22 Pine St, Bristol, CT 06010-6948 | 2011-07-25 |
1497989123 | Jayme Leigh Mickelson | Internal Medicine | 22 Pine St, Bristol, CT 06010-6948 | 2009-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
Find all providers in zip 06010 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224859 | Jennifer Shuler Kever | Counselor | 10611 Sr 20, Bristol, FL 32321-3232 | 2020-10-30 |
1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
1639710221 | Steven William Roll | Counselor | 2 Canals End Rd Ste 201b, Bristol, PA 19007-4821 | 2019-10-04 |
1265081913 | Tamara Diane Monroe | Counselor | 1250 Veterans Hwy # G18a, Bristol, PA 19007-2595 | 2019-09-05 |
1043770910 | Mckeon Counseling Services LLC | Counselor | 102 Ridge Rd, Bristol, CT 06010-7368 | 2019-03-25 |
1649739194 | Amberly Portero | Counselor | 10611 Florida Highway 20, Bristol, FL 32321 | 2019-03-14 |
1063903094 | Lynn Marie Weisman | Counselor | 417 Hope St, Bristol, RI 02809-1805 | 2018-05-25 |
1992213466 | Briana Donley | Counselor | 31 Charles St, Bristol, RI 02809-3101 | 2018-01-17 |
1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
1972056711 | Julia Gaw | Counselor | 970 Hope St Unit 3, Bristol, RI 02809-5210 | 2016-07-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.