Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOOM FAMILY SERVICES NFP
NPI 1619809738
Clinic/Center - Adolescent and Children Mental Health in Maywood, IL

Active since June 02, 2026
1701 S 1ST AVE STE 204C, MAYWOOD, IL 60153(773) 676-6900 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Jun 2, 2026 (2 updates tracked since 2026).

About Bloom Family Services Nfp NPPES

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

BLOOM FAMILY SERVICES NFP (NPI 1619809738) is a healthcare organization registered as an adolescent and children mental health in Maywood, Illinois and active in the NPI registry since June 2026. The organization lists Lakita Lakita Kent, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619809738
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameBLOOM FAMILY SERVICES NFP
Location Address1701 S 1ST AVE STE 204CMaywood, IL 60153-2400
Mailing Address1701 S 1st Ave Ste 204cMaywood, IL 60153-2400 · (773) 676-6900
Organization SubpartNo
Authorized OfficialLakita Lakita KentExecutive Director · (773) 676-9600
Enumeration DateJune 2, 2026
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1619809738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1701 S 1ST AVE STE 204C, Maywood, IL 60153

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 Bloom Family Services Nfp's NPI number?

The NPI number for Bloom Family Services Nfp is 1619809738. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Bloom Family Services Nfp located?

Bloom Family Services Nfp is located at 1701 S 1st Ave Ste 204C, Maywood, IL 60153. The listed phone number is (773) 676-6900.

What is Bloom Family Services Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Bloom Family Services Nfp was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.