BLOOM THERAPY
NPI 1649677006
Counselor - Professional in Austin, TX

Active since December 01, 2014
1205 W 43RD ST, AUSTIN, TX 78756(512) 660-9611(512) 220-1075 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2023, Dec 28, 2021, Apr 16, 2020 (3 updates tracked since 2020).

About Bloom Therapy NPPES

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

BLOOM THERAPY (NPI 1649677006) is a healthcare organization registered as a professional in Austin, Texas and active in the NPI registry since December 2014. The organization maintains a secondary practice location in Austin and lists Katy David, Clinical Director/supervisor, as its authorized official.

NPPES Registry Identity

NPI1649677006
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLOOM THERAPY, PLLC
Location Address1205 W 43RD STAustin, TX 78756-3301
Mailing Address1205 W 43rd StAustin, TX 78756-3301 · (512) 660-9611 · Fax (512) 220-1075
Fax(512) 220-1075
Organization SubpartNo
Authorized OfficialKaty DavidClinical Director/supervisor · (512) 660-9611
Enumeration DateDecember 1, 2014
Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1649677006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 69652
1205 W 43RD ST, Austin, TX 78756

Other Names 1

Doing Business AsBloom Therapy

Secondary Practice Location 1

Location 11206 W 43rd StAustin, TX 78756-3302 · Phone (512) 660-9611 · Fax (512) 220-1075

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bloom Therapy, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1700525490
1205 W 43RD ST
Austin, TX 78756
(512) 710-7645
✔ PECOSSame address
Mental Health Counselor
NPI 1770325755
1205 W 43RD ST
Austin, TX 78756
(512) 766-9802
✔ PECOSSame address
Marriage and Family Therapist
NPI 1851153498
1206 W 43RD ST
Austin, TX 78756
(512) 710-7645
✔ PECOSSame address
Mental Health Counselor
NPI 1881092807
1210 ROSEWOOD AVE
Austin, TX 78702
(512) 660-9611
✔ PECOS3.1 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 Bloom Therapy, PLLC's NPI number?

The NPI number for Bloom Therapy, PLLC is 1649677006. It was assigned to this organization in the NPPES registry on December 1, 2014. The provider is doing business as Bloom Therapy.

Where is Bloom Therapy, PLLC located?

Bloom Therapy, PLLC is located at 1205 W 43rd St, Austin, TX 78756. The listed phone number is (512) 660-9611.

What is Bloom Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bloom Therapy, PLLC enrolled in Medicare?

Yes. Bloom Therapy, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Therapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bloom Therapy, PLLC. 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. The largest specialties are Mental Health Counselor (3) and Marriage and Family Therapist (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Therapy, PLLC was last updated on January 3, 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.