BLOOM COUNSELING & CONSULTATION
NPI 1467268045
Clinic/Center - Adult Mental Health in Clarksville, TN

NPI Status: Active since December 09, 2024

Contact Information

1824 MEMORIAL DR
CLARKSVILLE, TN
ZIP 37043
Phone: (253) 380-0038

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Adult Mental Health

About BLOOM COUNSELING & CONSULTATION

This page provides the complete NPI Profile along with additional information for Bloom Counseling & Consultation, a provider established in Clarksville, Tennessee operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1467268045 assigned on December 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Corrie Lee Larson Licsw (Ceo/owner)

NPI: 1467268045
Provider Name: BLOOM COUNSELING & CONSULTATION
Entity Type: Organization
Location Address: 1824 MEMORIAL DR CLARKSVILLE, TN 37043
Location Phone: (253) 380-0038
Mailing Address: 259 HARROWGATE DR CLARKSVILLE, TN 37043
Mailing Phone: (253) 380-0038
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-09-2024
Last Update Date: 12-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Adult Mental Health
Taxonomy Code: 261QM0850X
Type: Ambulatory Health Care Facilities
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: CORRIE LEE LARSON LICSW
Authorized Official Title: CEO/OWNER
Authorized Official Phone: (253) 380-0038

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	6	7	2	6	8	0	4	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	12	7	4	6	16	0	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 4 + 6 + 1 + 6 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1467268045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.