MRS. AMANDA BLOOM M.ED., NCC, LPC
NPI 1164660551
Counselor - Professional in Roxboro, NC

Q: What is Amanda Bloom's NPI number?

The NPI number for Amanda Bloom is 1164660551. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Amanda Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Amanda Bloom enrolled in Medicare?

No. Amanda Bloom has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bloom was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 23, 2009Opted out of Medicare · through Feb 29, 2028

355 S MADISON BLVD, SUITE C1, ROXBORO, NC 27573(336) 599-8366(336) 322-6168 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Amanda Bloom M.ed., Ncc, Lpc NPPES

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

MRS. AMANDA BLOOM M.ED., NCC, LPC (NPI 1164660551) is an individual professional provider in Roxboro, North Carolina, licensed in North Carolina (7282) and active in the NPI registry since January 2009. She has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1164660551

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMANDA BLOOMCredential: M.ED., NCC, LPC

Location Address355 S MADISON BLVD, SUITE C1Roxboro, NC 27573-5485

Mailing Address355 S Madison Blvd, Suite C1Roxboro, NC 27573-5485 · (336) 599-8366 · Fax (336) 322-6168

Phone(336) 599-8366

Fax(336) 322-6168

Sole ProprietorYes

Enumeration DateJanuary 23, 2009

✔ NPI 1164660551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 7282

355 S MADISON BLVD, Roxboro, NC 27573

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Amanda Bloom M.ed., Ncc, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2024 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2024

Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 18

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

FREEDOM HOUSE RECOVERY CENTER, INC.

Community/Behavioral Health

355 S MADISON BLVD, STE C1
ROXBORO, NC 27573

Person County (336) 599-8366

TRIUMPH, LLC

Counselor (Professional)

355 S MADISON BLVD, SUITE C2
ROXBORO, NC 27573

Person County (336) 597-2065

TRIUMPH LLC

Psychiatry & Neurology (Psychiatry)

355 S MADISON BLVD, STE. C2
ROXBORO, NC 27573

Person County (336) 597-2065

MRS. WINSTONA DAISY COLE

Counselor (Mental Health)

355 S MADISON BLVD
ROXBORO, NC 27573

Person County (336) 599-8366

KEVIN T ASHE CSAC

Counselor (Addiction (Substance Use Disorder))

355 S MADISON BLVD
ROXBORO, NC 27573

Person County (336) 599-8366

PRESTON WHITLOW LCMHCA, LCAS

Counselor (Addiction (Substance Use Disorder))

355 S MADISON BLVD
ROXBORO, NC 27573

Person County (434) 429-7605

COUNTY OF PERSON, OFFICE OF COUNTY FINANCE

Clinic/Center (Public Health, State or Local)

355 S MADISON BLVD, STE A
ROXBORO, NC 27573

Person County (336) 597-2204

KIMBERLY LYNN CLICQUENNOI LCMHC

Counselor (Mental Health)

355 S MADISON BLVD, SUITE C2
ROXBORO, NC 27573

Person County (336) 597-2065

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 Amanda Bloom's NPI number?

The NPI number for Amanda Bloom is 1164660551. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Amanda Bloom located?

Amanda Bloom practices at 355 S Madison Blvd Suite C1, Roxboro, NC 27573. The listed phone number is (336) 599-8366.

What is Amanda Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Bloom enrolled in Medicare?

No. Amanda Bloom has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Bloom accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Amanda Bloom 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 Amanda Bloom was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.