JENNIFER BLOMBERG
NPI 1255148052
Counselor - Mental Health in Cheyenne, WY
Active since December 16, 2024
About Jennifer Blomberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER BLOMBERG (NPI 1255148052) is an individual mental health provider in Cheyenne, Wyoming, licensed in Wyoming (1480) and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1255148052
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER BLOMBERG
Location Address2622 PIONEER AVECheyenne, WY 82001-3024
Mailing Address2622 Pioneer AveCheyenne, WY 82001-3024 · (307) 287-7685
Phone(307) 287-7685
Sole ProprietorNo
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 15, 2024
✔ NPI 1255148052 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WY · 1480
2622 PIONEER AVE, Cheyenne, WY 82001
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255148052, enumerated as an "individual" on December 16, 2024.
The provider is located at 2622 PIONEER AVE CHEYENNE, WY 82001 and the phone number is (307) 287-7685.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.