IN BLOOM MENTAL HEALTH COUNSELING, LLC
NPI 1215547831
Counselor - Mental Health in Brooklyn, NY

Q: What is In Bloom Mental Health Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 07, 2020

247 PROSPECT AVE STE 4H, BROOKLYN, NY 11215(347) 509-7127 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2022, Aug 7, 2020 (2 updates tracked since 2020).

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About In Bloom Mental Health Counseling, Llc NPPES

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

IN BLOOM MENTAL HEALTH COUNSELING, LLC (NPI 1215547831) is a healthcare organization registered as a mental health in Brooklyn, New York and active in the NPI registry since August 2020. The organization lists Shandelle Hether-gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1215547831

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameIN BLOOM MENTAL HEALTH COUNSELING, LLC

Location Address247 PROSPECT AVE STE 4HBrooklyn, NY 11215-8403

Mailing Address2324 W Joppa Rd Ste 410Lutherville, MD 21093-4620 · (443) 446-4718 · Fax (347) 391-0191

Phone(347) 509-7127

Organization SubpartNo

Authorized OfficialShandelle Hether-grayOwner · (347) 509-7127

Enumeration DateAugust 7, 2020

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1215547831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

247 PROSPECT AVE STE 4H, Brooklyn, NY 11215

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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)

In Bloom Mental Health 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 In Bloom Mental Health Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eugene Pometto, LCPC, NBCCH

Mental Health Counselor

NPI 1104115336

2324 W JOPPA RD STE 410
Lutherville Timonium, MD 21093

(443) 446-4718

✔ PECOS✔ Accepts Medicare166 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 In Bloom Mental Health Counseling, LLC's NPI number?

The NPI number for In Bloom Mental Health Counseling, LLC is 1215547831. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is In Bloom Mental Health Counseling, LLC located?

In Bloom Mental Health Counseling, LLC is located at 247 Prospect Ave Ste 4H, Brooklyn, NY 11215. The listed phone number is (347) 509-7127.

What is In Bloom Mental Health Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is In Bloom Mental Health Counseling, LLC enrolled in Medicare?

Yes. In Bloom Mental Health Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through In Bloom Mental Health Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to In Bloom Mental Health 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 In Bloom Mental Health Counseling, LLC was last updated on August 12, 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.