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BLOOMING MIND PLLC
NPI 1376253682
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jenks, OK

Active since November 28, 2022
715 W MAIN ST STE L, JENKS, OK 74037(918) 280-9166 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blooming Mind Pllc NPPES

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

BLOOMING MIND PLLC (NPI 1376253682) is a healthcare organization registered as a mental health (including community mental health center) in Jenks, Oklahoma and active in the NPI registry since November 2022. The organization lists Ashley Woltjer, Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1376253682
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOOMING MIND PLLC
Location Address715 W MAIN ST STE LJenks, OK 74037-3553
Mailing Address715 W Main St Ste LJenks, OK 74037-3553 · (918) 280-9166
Phone(918) 280-9166
Organization SubpartNo
Authorized OfficialAshley WoltjerMental Health Therapist · (918) 280-9166
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1376253682 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
715 W MAIN ST STE L, Jenks, OK 74037
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Other Identifiers 1

Medicaid200892560AOK

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 Blooming Mind PLLC's NPI number?

The NPI number for Blooming Mind PLLC is 1376253682. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Blooming Mind PLLC located?

Blooming Mind PLLC is located at 715 W Main St Ste L, Jenks, OK 74037. The listed phone number is (918) 280-9166.

What is Blooming Mind PLLC'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.

When was this NPI record last updated?

The NPPES record for Blooming Mind PLLC was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.