SAMANTHA MARGARET BLOOM MFT INTERN
NPI 1699236190
Marriage & Family Therapist in Henderson, NV

Q: What is Samantha Bloom's NPI number?

The NPI number for Samantha Bloom is 1699236190. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Samantha Bloom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Bloom was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 27, 2019PECOS Enrolled

2920 N GREEN VALLEY PKWY STE 321, HENDERSON, NV 89014(702) 825-5237 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Margaret Bloom Mft Intern NPPES

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

SAMANTHA MARGARET BLOOM MFT INTERN (NPI 1699236190) is an individual marriage & family therapist in Henderson, Nevada, licensed in Nevada (MI1154) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699236190

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSAMANTHA MARGARET BLOOMCredential: MFT INTERN

Location Address2920 N GREEN VALLEY PKWY STE 321Henderson, NV 89014-0412

Mailing Address1453 Evening Song AveHenderson, NV 89012-4465 · (847) 346-9785

Phone(702) 825-5237

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 27, 2019

✔ NPI 1699236190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NV · MI1154

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2920 N GREEN VALLEY PKWY STE 321, Henderson, NV 89014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Margaret Bloom Mft Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709368327

PECOS Enrollment IDI20260304000035

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGNIESZKA A KOMOSINSKA

Marriage & Family Therapist

2920 N GREEN VALLEY PKWY STE 321
HENDERSON, NV 89014

Clark County (702) 508-5920

DEBRA MCCURTAINMURRY NURSE PRACTITIONER

Nurse Practitioner

2920 N GREEN VALLEY PKWY STE 321
HENDERSON, NV 89014

Clark County (702) 523-8668

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 Samantha Bloom's NPI number?

The NPI number for Samantha Bloom is 1699236190. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Samantha Bloom located?

Samantha Bloom practices at 2920 N Green Valley Pkwy Ste 321, Henderson, NV 89014. The listed phone number is (702) 825-5237.

What is Samantha Bloom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Samantha Bloom enrolled in Medicare?

Yes. Samantha Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Bloom was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.