BLOOM MENTAL HEALTH AND WELLNESS, LLC
NPI 1285484204
Clinic/Center - Adult Mental Health in Lake Mary, FL
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 1285484204) is a healthcare organization registered as an adult mental health in Lake Mary, Florida and active in the NPI registry since March 2024. The organization lists Lari J Quintero, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
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 1285484204. It was assigned to this organization in the NPPES registry on March 25, 2024.
Where is Bloom Mental Health And Wellness, LLC located?
Bloom Mental Health And Wellness, LLC is located at 1540 International Pkwy Ste 2000, Lake Mary, FL 32746. The listed phone number is (407) 554-9970.
What is Bloom Mental Health And Wellness, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
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 November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Bloom Mental Health And Wellness, Llc · NPI 1285484204
Adult Mental Health organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1285484204 (Entity type: Organization)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Lari Quintero, OWNER
## Practice location
- **Address:** 1540 INTERNATIONAL PKWY STE 2000, Lake Mary, FL 32746-5096
- **Phone:** (407) 554-9970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285484204) · Data from the CMS NPPES public registry.