1. Home
  2. Directory
  3. Florida
  4. Port Orange
  5. Marriage Family Therapist
  6. NPI Profile

BLOOM BEHAVIORAL HEALTH LLC
NPI 1114593399
Marriage & Family Therapist in Port Orange, FL

Active since May 28, 2021
2473 KARL DR, PORT ORANGE, FL 32128(904) 788-9474(760) 205-4866 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, Jan 11, 2023, Dec 28, 2022 and 1 more (4 updates tracked since 2021).

About Bloom Behavioral Health Llc NPPES

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

BLOOM BEHAVIORAL HEALTH LLC (NPI 1114593399) is a healthcare organization registered as a marriage & family therapist in Port Orange, Florida and active in the NPI registry since May 2021. The organization lists Elena Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1114593399
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameBLOOM BEHAVIORAL HEALTH LLC
Location Address2473 KARL DRPort Orange, FL 32128-6511
Mailing Address32 Olivine CtSaint Augustine, FL 32086-0350 · (904) 788-9474 · Fax (760) 205-4866
Phone(904) 788-9474
Fax(760) 205-4866
Organization SubpartNo
Authorized OfficialElena GonzalezOwner · (904) 788-9474
Enumeration DateMay 28, 2021
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1114593399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2473 KARL DR, Port Orange, FL 32128
Open in Google Maps ↗

Other Identifiers 2

Other1164790143Npi
Other1164790143CA · Npi 1

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

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

ELENA K GONZALEZ LMFT
Marriage & Family Therapist
2473 KARL DR
PORT ORANGE, FL 32128
Volusia County (305) 614-4751

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 Bloom Behavioral Health LLC's NPI number?

The NPI number for Bloom Behavioral Health LLC is 1114593399. It was assigned to this organization in the NPPES registry on May 28, 2021.

Where is Bloom Behavioral Health LLC located?

Bloom Behavioral Health LLC is located at 2473 Karl Dr, Port Orange, FL 32128. The listed phone number is (904) 788-9474.

What is Bloom Behavioral Health LLC's specialty?

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

What insurance does Bloom Behavioral Health LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Bloom Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Behavioral Health LLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.