BLOOM MENTAL HEALTH LLC
NPI 1427693613
Nurse Practitioner - Psychiatric/Mental Health in Biloxi, MS

Active since November 12, 2019
933 TOMMY MUNRO DR., SUITE C, BILOXI, MS 39532(228) 343-0325 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2020, Nov 12, 2019 (2 updates tracked since 2019).

About Bloom Mental Health Llc NPPES

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

BLOOM MENTAL HEALTH LLC (NPI 1427693613) is a healthcare organization registered as a psychiatric/mental health in Biloxi, Mississippi and active in the NPI registry since November 2019. The organization lists Jennifer Leigh Galle, Owner, as its authorized official.

NPPES Registry Identity

NPI1427693613
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOOM MENTAL HEALTH LLC
Location Address933 TOMMY MUNRO DR., SUITE CBiloxi, MS 39532
Mailing AddressPo Box 8592Biloxi, MS 39535-8592 · (225) 343-0325
Organization SubpartNo
Authorized OfficialJennifer Leigh GalleOwner · (228) 343-0325
Enumeration DateNovember 12, 2019
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1427693613 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
933 TOMMY MUNRO DR., Biloxi, MS 39532

Other Identifiers 1

OtherR864186MS · State License

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

Accepted Insurance

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 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 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1073747564
9471 THREE RIVERS RD STE D
Gulfport, MS 39503
(228) 248-0058
✔ PECOS9.0 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 LLC's NPI number?

The NPI number for Bloom Mental Health LLC is 1427693613. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Bloom Mental Health LLC located?

Bloom Mental Health LLC is located at 933 Tommy Munro Dr. Suite C, Biloxi, MS 39532. The listed phone number is (228) 343-0325.

What is Bloom Mental Health LLC's specialty?

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

Is Bloom Mental Health LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Bloom Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bloom Mental Health 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.

What insurance does Bloom Mental Health LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Bloom Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Mental Health LLC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.