PEAK BLOOM COUNSELING AND WELLNESS LLC
NPI 1699597682
Counselor - Professional in Canonsburg, PA
About Peak Bloom Counseling And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEAK BLOOM COUNSELING AND WELLNESS LLC (NPI 1699597682) is a healthcare organization registered as a professional in Canonsburg, Pennsylvania and active in the NPI registry since October 2024. The organization lists Corey Vansickle, Owner/lpc, 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)
Peak Bloom Counseling And Wellness 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 Peak Bloom Counseling And Wellness 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 Peak Bloom Counseling And Wellness LLC's NPI number?
The NPI number for Peak Bloom Counseling And Wellness LLC is 1699597682. It was assigned to this organization in the NPPES registry on October 30, 2024.
Where is Peak Bloom Counseling And Wellness LLC located?
Peak Bloom Counseling And Wellness LLC is located at 1000 Noble Energy Dr Ste 282, Canonsburg, PA 15317. The listed phone number is (717) 744-2453.
What is Peak Bloom Counseling And Wellness LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Peak Bloom Counseling And Wellness LLC enrolled in Medicare?
Yes. Peak Bloom Counseling And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peak Bloom Counseling And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Peak Bloom Counseling And Wellness 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 Peak Bloom Counseling And Wellness LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Peak Bloom Counseling And Wellness Llc · NPI 1699597682
Professional organization in Canonsburg, Pennsylvania. Organization record, active in the CMS NPPES registry since October 30, 2024.
## Identity
- **NPI:** 1699597682 (Entity type: Organization)
- **Enumerated:** October 30, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Corey Vansickle, OWNER/LPC
## Practice location
- **Address:** 1000 NOBLE ENERGY DR STE 282, Canonsburg, PA 15317-7541
- **Phone:** (717) 744-2453
## 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:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699597682) · Data from the CMS NPPES public registry.