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CHARLES MICHAEL BLOOM, JR. QMHP
NPI 1699320325
Counselor - Mental Health in Springfield, OR

Active since August 08, 2019
1651 CENTENNIAL BLVD, SPRINGFIELD, OR 97477(541) 726-2467(541) 684-4156 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Charles Michael Bloom, Jr. Qmhp NPPES

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

CHARLES MICHAEL BLOOM, JR. QMHP (NPI 1699320325) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1699320325
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES MICHAEL BLOOM, JR.Credential: QMHP
Location Address1651 CENTENNIAL BLVDSpringfield, OR 97477-3363
Mailing Address687 Cheshire AveEugene, OR 97402-5060 · (541) 684-4100 · Fax (541) 684-4156
Phone(541) 726-2467
Fax(541) 684-4156
Sole ProprietorNo
Enumeration DateAugust 8, 2019
Last NPPES UpdateJanuary 6, 20202 updates tracked since enumeration
✔ NPI 1699320325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1651 CENTENNIAL BLVD, Springfield, OR 97477
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

DEAN BORN
Peer Specialist
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
CASEY A CALLAHAN
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
MS. MARY JO SANDERS RN, LCSW
Social Worker (Clinical)
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4551
WILLIAM MAVER CADC II, QMHA I
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
NITA VANNICE CADC II
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 726-2467
MARY JANE IIDA CADC II
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4532
MR. GILBERT GRIFFITH MCEWEN MS, LPC, NCC,
Counselor (Professional)
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 763-4557
TESSA DIANE BRAHM
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525

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 Charles Bloom, Jr.'s NPI number?

The NPI number for Charles Bloom, Jr. is 1699320325. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Charles Bloom, Jr. located?

Charles Bloom, Jr. practices at 1651 Centennial Blvd, Springfield, OR 97477. The listed phone number is (541) 726-2467.

What is Charles Bloom, Jr.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Charles Bloom, Jr. accept?

Health plans from Moda Health Plan, Inc. list Charles Bloom, Jr. 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 Charles Bloom, Jr. was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.