1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Peer Specialist
  6. NPI Profile

MS. LEESA ROBIN BLOOM
NPI 1104409689
Peer Specialist in Albuquerque, NM

Active since May 03, 2021
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102(505) 268-0701 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2021, May 3, 2021 (2 updates tracked since 2021).

About Ms. Leesa Robin Bloom NPPES

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

MS. LEESA ROBIN BLOOM (NPI 1104409689) is an individual peer specialist in Albuquerque, New Mexico and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1104409689
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. LEESA ROBIN BLOOM
Location Address707 BROADWAY BLVD NE STE 500Albuquerque, NM 87102-2367
Mailing AddressPo Box 1637Owensboro, KY 42302-1637 · (270) 689-6500
Phone(505) 268-0701
Sole ProprietorYes
Enumeration DateMay 3, 2021
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1104409689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
707 BROADWAY BLVD NE STE 500, Albuquerque, NM 87102
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. DANELLE W MARSHALL LCSW
Social Worker (Clinical)
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
WHITNEY WOZNIAK LMHC
Counselor
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 833-2300
SARAH DULCE BOYD
Peer Specialist
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
BRADFORD GALE BILLINGS
Counselor (Mental Health)
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
NATHAN LYONS LMSW
Social Worker (Clinical)
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
JENNIFER LYNN MILLER
Case Manager/Care Coordinator
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
ANDRE STEELE JONES
Case Manager/Care Coordinator
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701
DANIELLE COSSETT LCSW
Social Worker (Clinical)
707 BROADWAY BLVD NE STE 500
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-0701

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 Leesa Bloom's NPI number?

The NPI number for Leesa Bloom is 1104409689. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Leesa Bloom located?

Leesa Bloom practices at 707 Broadway Blvd NE Ste 500, Albuquerque, NM 87102. The listed phone number is (505) 268-0701.

What is Leesa Bloom's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Leesa Bloom was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.