MS. KRISTEN BLOOM MHC
NPI 1609177336
Counselor - Mental Health in Carthage, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kristen Bloom Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristen Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carthage, NY 13619
- Reassigned Medicare billing, New York enrollment
- 199 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Kristen Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Bloom reassigns Medicare benefits to Carthage Area Hospital Inc. (Carthage, NY). The 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 Kristen Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Kristen Bloom, MHC · NPI 1609177336
Mental Health provider in Carthage, New York. Individual provider, active in the CMS NPPES registry since November 11, 2010.
## Identity
- **NPI:** 1609177336 (Entity type: Individual)
- **Enumerated:** November 11, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 004528 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 BRIDGE ST, Carthage, NY 13619-1353
- **Phone:** (315) 493-1340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Carthage Area Hospital Inc. (NPI 1720269863, Carthage, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609177336) · Data from the CMS NPPES public registry.