SAMANTHA MARGARET BLOOM MFT INTERN
NPI 1699236190
Marriage & Family Therapist in Henderson, NV
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Margaret Bloom Mft Intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, CO 80401
- Reassigned Medicare billing, Colorado enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HENDERSON, NV 89014
HENDERSON, NV 89014
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bloom reassigns Medicare benefits to Foothills Health LLC (Lakewood, CO). The 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 Samantha Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Samantha Margaret Bloom, MFT INTERN · NPI 1699236190
Marriage & Family Therapist provider in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1699236190 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MI1154 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2920 N GREEN VALLEY PKWY STE 321, Henderson, NV 89014-0412
- **Phone:** (702) 825-5237
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Foothills Health LLC (NPI 1750095550, Lakewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1699236190) · Data from the CMS NPPES public registry.