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BLOOM WELLNESS LLC
NPI 1114723558
Social Worker - Clinical in Green Mountain Falls, CO

Active since February 24, 2025
10585 UTE PASS AVENUE, GREEN MOUNTAIN FALLS, CO 80809(719) 286-9077 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bloom Wellness Llc NPPES

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

BLOOM WELLNESS LLC (NPI 1114723558) is a healthcare organization registered as a clinical in Green Mountain Falls, Colorado and active in the NPI registry since February 2025. The organization lists Laura Magnuson, Owner/clinician, as its authorized official.

NPPES Registry Identity

NPI1114723558
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLOOM WELLNESS LLC
Location Address10585 UTE PASS AVENUEGreen Mountain Falls, CO 80809
Mailing Address417 Beaver Pond RdDivide, CO 80814-7792 · (719) 286-9077
Phone(719) 286-9077
Organization SubpartYes
Authorized OfficialLaura MagnusonOwner/clinician · (719) 286-9077
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1114723558 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.
10585 UTE PASS AVENUE, Green Mountain Falls, CO 80809
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Bloom Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bloom Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Timothy Corbley, LCSW
Clinical Social Worker
NPI 1114630977
8435 PACKARD LN
Green Mountain Falls, CO 80819
(719) 661-5326
✔ PECOS✔ Accepts Medicare1.5 mi
Amy Stewart
Clinical Social Worker
NPI 1952017964
1151 PARKVIEW RD
Woodland Park, CO 80863
(303) 349-3852
✔ PECOS4.6 mi
Laura Magnuson, MSW, LSW
Clinical Social Worker
NPI 1881093839
3201 S TAMARAC DR SUITE 210
Denver, CO 80231
(303) 408-8056
✔ PECOS✔ Accepts Medicare50 mi

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 Bloom Wellness LLC's NPI number?

The NPI number for Bloom Wellness LLC is 1114723558. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Bloom Wellness LLC located?

Bloom Wellness LLC is located at 10585 Ute Pass Avenue, Green Mountain Falls, CO 80809. The listed phone number is (719) 286-9077.

What is Bloom Wellness LLC's specialty?

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

Is Bloom Wellness LLC enrolled in Medicare?

Yes. Bloom Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Bloom Wellness 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Wellness LLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.