BLOOM STUDIO AND COUNSELING SERVICES LLC
NPI 1689427775
Clinic/Center - Mental Health (Including Community Mental Health Center) in Burnsville, MN

Active since April 09, 2024
1605 SOUTHCROSS DR W STE 100, BURNSVILLE, MN 55306(612) 963-4242 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Apr 9, 2024 (2 updates tracked since 2024).

About Bloom Studio And Counseling Services Llc NPPES

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

BLOOM STUDIO AND COUNSELING SERVICES LLC (NPI 1689427775) is a healthcare organization registered as a mental health (including community mental health center) in Burnsville, Minnesota and active in the NPI registry since April 2024. The organization lists Elliesha Hahn, Owner, as its authorized official.

NPPES Registry Identity

NPI1689427775
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOOM STUDIO AND COUNSELING SERVICES LLC
Location Address1605 SOUTHCROSS DR W STE 100Burnsville, MN 55306-7013
Mailing Address8547 Grove CirShakopee, MN 55379-8096 · (612) 963-4242
Organization SubpartNo
Authorized OfficialElliesha HahnOwner · (612) 963-4242
Enumeration DateApril 9, 2024
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1689427775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1605 SOUTHCROSS DR W STE 100, Burnsville, MN 55306

Accepted Insurance

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 Studio And Counseling 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 Studio And Counseling Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1720746589
5009 EXCELSIOR BLVD STE 134
St Louis Park, MN 55416
(612) 963-4242
✔ PECOS14 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 Studio And Counseling Services LLC's NPI number?

The NPI number for Bloom Studio And Counseling Services LLC is 1689427775. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Bloom Studio And Counseling Services LLC located?

Bloom Studio And Counseling Services LLC is located at 1605 Southcross Dr W Ste 100, Burnsville, MN 55306. The listed phone number is (612) 963-4242.

What is Bloom Studio And Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Bloom Studio And Counseling Services LLC enrolled in Medicare?

Yes. Bloom Studio And Counseling Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Studio And Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Bloom Studio And Counseling 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.

What insurance does Bloom Studio And Counseling Services LLC accept?

Health plans from HealthPartners list Bloom Studio And Counseling Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Studio And Counseling Services LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.