BLOOM MENTAL HEALTH SERVICES LLC
NPI 1679323794
Counselor - Mental Health in Locust Grove, GA
About Bloom Mental Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM MENTAL HEALTH SERVICES LLC (NPI 1679323794) is a healthcare organization registered as a mental health in Locust Grove, Georgia and active in the NPI registry since March 2024. The organization lists Cierra Brown, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Mental Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bloom Mental Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mental Health Services LLC's NPI number?
The NPI number for Bloom Mental Health Services LLC is 1679323794. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Bloom Mental Health Services LLC located?
Bloom Mental Health Services LLC is located at 31 Pine Grove Rd # 1009, Locust Grove, GA 30248. The listed phone number is (404) 530-9252.
What is Bloom Mental Health Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bloom Mental Health Services LLC enrolled in Medicare?
Yes. Bloom Mental Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Mental Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Bloom Mental Health Services 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. 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 Mental Health Services LLC was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Bloom Mental Health Services Llc · NPI 1679323794
Mental Health organization in Locust Grove, Georgia. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1679323794 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Cierra Brown, OWNER/THERAPIST
## Practice location
- **Address:** 31 PINE GROVE RD # 1009, Locust Grove, GA 30248-2561
- **Phone:** (404) 530-9252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679323794) · Data from the CMS NPPES public registry.