MS. KRISTEN BLOOM MHC
NPI 1609177336
Counselor - Mental Health in Carthage, NY

Active since November 11, 2010PECOS Enrolled
3 BRIDGE ST, CARTHAGE, NY 13619(315) 493-1340 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kristen Bloom Mhc NPPES

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

MS. KRISTEN BLOOM MHC (NPI 1609177336) is an individual mental health provider in Carthage, New York, licensed in New York (004528) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609177336
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KRISTEN BLOOMCredential: MHC
Location Address3 BRIDGE STCarthage, NY 13619-1353
Mailing Address1001 West StCarthage, NY 13619-9703 · (315) 493-1000
Sole ProprietorNo
Enumeration DateNovember 11, 2010
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
NPI 1609177336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 004528
3 BRIDGE ST, Carthage, NY 13619

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kristen Bloom Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Physical Therapy Assistant
3 BRIDGE ST
CARTHAGE, NY 13619
Dentist (General Practice)
3 BRIDGE ST
CARTHAGE, NY 13619
Counselor (Mental Health)
3 BRIDGE ST
CARTHAGE, NY 13619
Behavior Analyst
3 BRIDGE ST, PHYSICAL THERAPY SUITE
CARTHAGE, NY 13619
Clinic/Center (Dental)
3 BRIDGE ST
CARTHAGE, NY 13619
Social Worker
3 BRIDGE ST
CARTHAGE, NY 13619
Social Worker
3 BRIDGE ST
CARTHAGE, NY 13619
Social Worker (Clinical)
3 BRIDGE ST
CARTHAGE, NY 13619

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 Kristen Bloom's NPI number?

The NPI number for Kristen Bloom is 1609177336. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Where is Kristen Bloom located?

Kristen Bloom practices at 3 Bridge St, Carthage, NY 13619. The listed phone number is (315) 493-1340.

What is Kristen Bloom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristen Bloom enrolled in Medicare?

Yes. Kristen Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Bloom was last updated on January 12, 2023. 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.