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LARISSA JOELLE BLOOM LASAC
NPI 1568098846
Counselor - Addiction (Substance Use Disorder) in Sacaton, AZ

Active since March 18, 2020
483 W SEED FARM RD, SACATON, AZ 85147(602) 528-1200 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larissa Joelle Bloom Lasac NPPES

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

LARISSA JOELLE BLOOM LASAC (NPI 1568098846) is an individual addiction (substance use disorder) provider in Sacaton, Arizona, licensed in Arizona (LASAC-15335) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1568098846
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLARISSA JOELLE BLOOMCredential: LASAC
Location Address483 W SEED FARM RDSacaton, AZ 85147-5000
Mailing AddressPo Box 36Sacaton, AZ 85147-0001
Phone(602) 528-1200
Sole ProprietorNo
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1568098846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LASAC-15335
483 W SEED FARM RD, Sacaton, AZ 85147
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Other Providers at the Same Location NPPES 20

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

DEVI SEPPERUMAL
Dietitian, Registered
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
AUNDRIA THOMPSON LAC
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7100
CLAUDIA WARD
Counselor
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 271-7942
BENJAMIN LEVI THUESEN PA-C
Physician Assistant
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (520) 562-3321
WHITNEY MCGINN PT, DPT, MSCS
Physical Therapist
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
BROOKE LEE BILLINGS FNP-C
Nurse Practitioner (Family)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-1200
COLLEEN MARIE AUSTIN LMSW
Social Worker (Clinical)
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (602) 528-7131
JAY KENNETH HAUGEN RN
Registered Nurse
483 W SEED FARM RD
SACATON, AZ 85147
Pinal County (520) 562-1200

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 Larissa Bloom's NPI number?

The NPI number for Larissa Bloom is 1568098846. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Larissa Bloom located?

Larissa Bloom practices at 483 W Seed Farm Rd, Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Larissa Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larissa Bloom was last updated on March 18, 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.