BLOOM BEHAVIORAL HEALTH PARTNERS PLLC
NPI 1174176366
Counselor - Mental Health in Grand Rapids, MI
About Bloom Behavioral Health Partners Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM BEHAVIORAL HEALTH PARTNERS PLLC (NPI 1174176366) is a healthcare organization registered as a mental health in Grand Rapids, Michigan and active in the NPI registry since July 2019. The organization maintains 2 additional practice locations and lists Matthew Thatcher, Owner / Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
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 Behavioral Health Partners Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Bloom Behavioral Health Partners PLLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Behavioral Health Partners PLLC's NPI number?
The NPI number for Bloom Behavioral Health Partners PLLC is 1174176366. It was assigned to this organization in the NPPES registry on July 17, 2019.
Where is Bloom Behavioral Health Partners PLLC located?
Bloom Behavioral Health Partners PLLC is located at 1514 Wealthy St SE Ste 242, Grand Rapids, MI 49506. The listed phone number is (616) 202-2138.
What is Bloom Behavioral Health Partners PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bloom Behavioral Health Partners PLLC enrolled in Medicare?
Yes. Bloom Behavioral Health Partners PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Behavioral Health Partners PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Bloom Behavioral Health Partners PLLC. 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. The largest specialties are Clinical Social Worker (7) and Mental Health Counselor (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bloom Behavioral Health Partners PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bloom Behavioral Health Partners PLLC 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 Partners PLLC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bloom Behavioral Health Partners Pllc · NPI 1174176366
Mental Health organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since July 17, 2019.
## Identity
- **NPI:** 1174176366 (Entity type: Organization)
- **Enumerated:** July 17, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Matthew Thatcher, OWNER / COUNSELOR
## Practice location
- **Address:** 1514 WEALTHY ST SE STE 242, Grand Rapids, MI 49506-2755
- **Phone:** (616) 202-2138 · **Fax:** (616) 228-8990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Mental Health Counselor (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174176366) · Data from the CMS NPPES public registry.