LUNA BLOOM PSYCHIATRY LLC
NPI 1578427381
Clinic/Center - Adult Mental Health in Columbus, OH

Active since December 15, 2025
2025 RIVERSIDE DR STE 618, COLUMBUS, OH 43221(614) 324-9099 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2026, Dec 15, 2025 (2 updates tracked since 2025).

About Luna Bloom Psychiatry Llc NPPES

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

LUNA BLOOM PSYCHIATRY LLC (NPI 1578427381) is a healthcare organization registered as an adult mental health in Columbus, Ohio and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Miami and lists Ashley Nerusu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578427381
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLUNA BLOOM PSYCHIATRY LLC
Location Address2025 RIVERSIDE DR STE 618Columbus, OH 43221-4012
Mailing Address2025 Riverside Dr Ste 618Columbus, OH 43221-4012 · (614) 324-9099
Organization SubpartNo
Authorized OfficialAshley NerusuCeo · (614) 324-9099
Enumeration DateDecember 15, 2025
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1578427381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2025 RIVERSIDE DR STE 618, Columbus, OH 43221

Secondary Practice Location 1

Location 11110 Brickell Ave Ste 400Miami, FL 33131-3135 · Phone (614) 324-9099

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)

Luna Bloom Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Luna Bloom Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1376341941
2025 RIVERSIDE DR STE 618
Columbus, OH 43221
(614) 293-3333
✔ PECOSSame address
Nurse Practitioner
NPI 1760271472
16401 NW 37TH AVE
Miami Gardens, FL 33054
(786) 286-1735
✔ PECOS983 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 Luna Bloom Psychiatry LLC's NPI number?

The NPI number for Luna Bloom Psychiatry LLC is 1578427381. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Luna Bloom Psychiatry LLC located?

Luna Bloom Psychiatry LLC is located at 2025 Riverside Dr Ste 618, Columbus, OH 43221. The listed phone number is (614) 324-9099.

What is Luna Bloom Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Luna Bloom Psychiatry LLC enrolled in Medicare?

Yes. Luna Bloom Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luna Bloom Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Luna Bloom Psychiatry 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Luna Bloom Psychiatry LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Luna Bloom Psychiatry 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 Luna Bloom Psychiatry LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.