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BLOOMING ROADS COUNSELING, LLC
NPI 1104798040
Social Worker - Clinical in Drums, PA

Active since September 20, 2025
213 TRAPPER SPRINGS LN, DRUMS, PA 18222(570) 519-8818(570) 990-3029 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blooming Roads Counseling, Llc NPPES

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

BLOOMING ROADS COUNSELING, LLC (NPI 1104798040) is a healthcare organization registered as a clinical in Drums, Pennsylvania and active in the NPI registry since September 2025. The organization maintains a secondary practice location in Drums and lists Lisa Marie Medvetz, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1104798040
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLOOMING ROADS COUNSELING, LLC
Location Address213 TRAPPER SPRINGS LNDrums, PA 18222-1219
Mailing Address213 Trapper Springs LnDrums, PA 18222-1219 · (570) 519-8818 · Fax (570) 990-3029
Phone(570) 519-8818
Fax(570) 990-3029
Organization SubpartNo
Authorized OfficialLisa Marie MedvetzOwner/therapist · (724) 699-1419
Enumeration DateSeptember 20, 2025
NPPES CertifiedSeptember 20, 2025
✔ NPI 1104798040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
213 TRAPPER SPRINGS LN, Drums, PA 18222
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Secondary Practice Location 1

Location 13 E Butler DrDrums, PA 18222-2600 · Phone (570) 519-8818 · Fax (570) 990-3029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blooming Roads Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blooming Roads Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Medvetz, LCSW
Clinical Social Worker
NPI 1225794464
213 TRAPPER SPRINGS LN
Drums, PA 18222
(570) 519-8818
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blooming Roads Counseling, LLC's NPI number?

The NPI number for Blooming Roads Counseling, LLC is 1104798040. It was assigned to this organization in the NPPES registry on September 20, 2025.

Where is Blooming Roads Counseling, LLC located?

Blooming Roads Counseling, LLC is located at 213 Trapper Springs Ln, Drums, PA 18222. The listed phone number is (570) 519-8818.

What is Blooming Roads Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blooming Roads Counseling, LLC enrolled in Medicare?

Yes. Blooming Roads Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blooming Roads Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Blooming Roads Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blooming Roads Counseling, LLC was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.