Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHOENIX BLOOM FAMILY FOUNDATION, INC.
NPI 1013820992
Marriage & Family Therapist in Covington, KY

Q: What is Phoenix Bloom Family Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since September 23, 2026

31 HIDEAWAY DR, COVINGTON, KY 41017(859) 307-4540 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Phoenix Bloom Family Foundation, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX BLOOM FAMILY FOUNDATION, INC. (NPI 1013820992) is a healthcare organization registered as a marriage & family therapist in Covington, Kentucky and active in the NPI registry since September 2026. The organization lists Tina Nichole Hacker, Director, as its authorized official.

NPPES Registry Identity

NPI1013820992

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NamePHOENIX BLOOM FAMILY FOUNDATION, INC.

Location Address31 HIDEAWAY DRCovington, KY 41017-9775

Mailing Address31 Hideaway DrCovington, KY 41017-9775 · (859) 307-4540

Phone(859) 307-4540

Organization SubpartNo

Authorized OfficialTina Nichole HackerDirector · (859) 307-4540

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1013820992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedPublic Health or WelfareTaxonomy 251K00000X

31 HIDEAWAY DR, Covington, KY 41017

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TINA HACKER IMFT, LMFT, LICDC,

Marriage & Family Therapist

31 HIDEAWAY DR
COVINGTON, KY 41017

Kenton County (859) 307-4540

PHOENIX BLOOM THERAPEUTICS, LLC

Marriage & Family Therapist

31 HIDEAWAY DR
COVINGTON, KY 41017

Kenton County (859) 307-4540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Bloom Family Foundation, Inc.'s NPI number?

The NPI number for Phoenix Bloom Family Foundation, Inc. is 1013820992. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is Phoenix Bloom Family Foundation, Inc. located?

Phoenix Bloom Family Foundation, Inc. is located at 31 Hideaway Dr, Covington, KY 41017. The listed phone number is (859) 307-4540.

What is Phoenix Bloom Family Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Bloom Family Foundation, Inc. was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.