Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOOM HARBOR COLLECTIVE, PLLC
NPI 1265349914
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Q: What is Bloom Harbor Collective, PLLC's NPI number?

The NPI number for Bloom Harbor Collective, PLLC is 1265349914. It was assigned to this organization in the NPPES registry on August 27, 2026.

Q: What is Bloom Harbor Collective, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 27, 2026

2529 E LANCASTER AVE, FORT WORTH, TX 76103(469) 868-4500 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 8, 2026, Aug 27, 2026 (2 updates tracked since 2026).

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About Bloom Harbor Collective, Pllc NPPES

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

BLOOM HARBOR COLLECTIVE, PLLC (NPI 1265349914) is a healthcare organization registered as a psychiatric/mental health in Fort Worth, Texas and active in the NPI registry since August 2026. The organization lists Chenya Joseph, Owner, as its authorized official.

NPPES Registry Identity

NPI1265349914

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBLOOM HARBOR COLLECTIVE, PLLC

Location Address2529 E LANCASTER AVEFort Worth, TX 76103-2253

Mailing Address6245 Rufe Snow Dr. Ste. 280, Pmb 1050Fort Worth, TX 76148-3352 · (469) 868-4500

Phone(469) 868-4500

Organization SubpartNo

Authorized OfficialChenya JosephOwner · (662) 310-2341

Enumeration DateAugust 27, 2026

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1265349914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2529 E LANCASTER AVE, Fort Worth, TX 76103

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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

Other Providers at the Same Location NPPES

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

EXTRA CARE CONCERNS

Family Medicine (Sports Medicine)

2529 E LANCASTER AVE, SUITE A
FORT WORTH, TX 76103

Tarrant County (817) 534-7300

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 Harbor Collective, PLLC's NPI number?

The NPI number for Bloom Harbor Collective, PLLC is 1265349914. It was assigned to this organization in the NPPES registry on August 27, 2026.

Where is Bloom Harbor Collective, PLLC located?

Bloom Harbor Collective, PLLC is located at 2529 E Lancaster Ave, Fort Worth, TX 76103. The listed phone number is (469) 868-4500.

What is Bloom Harbor Collective, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bloom Harbor Collective, PLLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.