1. Home
  2. Directory
  3. Massachusetts
  4. Palmer
  5. Clinic Center
  6. NPI Profile

BLOOM MENTAL HEALTH AND WELLNESS LLC
NPI 1255188462
Clinic/Center - Mental Health (Including Community Mental Health Center) in Palmer, MA

Active since May 04, 2024
1207 S MAIN ST STE 1, PALMER, MA 01069(413) 200-2808(223) 924-9926 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Mar 17, 2026, Feb 18, 2025 and 3 more (6 updates tracked since 2024).

About Bloom Mental Health And Wellness Llc NPPES

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

BLOOM MENTAL HEALTH AND WELLNESS LLC (NPI 1255188462), doing business as Full Bloom Integrative Health, is a healthcare organization registered as a mental health (including community mental health center) in Palmer, Massachusetts and active in the NPI registry since May 2024. The organization lists Shaina Rae Labonte, Owner, as its authorized official.

NPPES Registry Identity

NPI1255188462
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOOM MENTAL HEALTH AND WELLNESS LLC
Location Address1207 S MAIN ST STE 1Palmer, MA 01069-1897
Mailing Address1207 S Main St Ste 1Palmer, MA 01069-1897 · (413) 200-2808 · Fax (223) 924-9926
Phone(413) 200-2808
Fax(223) 924-9926
Organization SubpartNo
Authorized OfficialShaina Rae LabonteOwner · (413) 200-2808
Enumeration DateMay 4, 2024
Last NPPES UpdateApril 15, 20266 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1255188462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1207 S MAIN ST STE 1, Palmer, MA 01069
Open in Google Maps ↗

Other Names 1

Doing Business AsFull Bloom Integrative Health

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 Mental Health And Wellness 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 Bloom Mental Health And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shaina Labonte, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1972050318
12O7 SOUTH MAIN STREET SUITE 1
Palmer, MA 01069
(413) 200-2808
✔ PECOS✔ Accepts Medicare0.2 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 Mental Health And Wellness LLC's NPI number?

The NPI number for Bloom Mental Health And Wellness LLC is 1255188462. It was assigned to this organization in the NPPES registry on May 4, 2024. The provider is doing business as Full Bloom Integrative Health.

Where is Bloom Mental Health And Wellness LLC located?

Bloom Mental Health And Wellness LLC is located at 1207 S Main St Ste 1, Palmer, MA 01069. The listed phone number is (413) 200-2808.

What is Bloom Mental Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Bloom Mental Health And Wellness LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Bloom Mental Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bloom Mental Health And 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. 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 Mental Health And Wellness LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.