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JAKE B BLOOM LPC
NPI 1730712308
Counselor - Mental Health in Menomonie, WI

Active since February 21, 2020
4076 KOTHLOW AVE, MENOMONIE, WI 54751(715) 235-4537(715) 235-4535 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2020, Feb 21, 2020 (2 updates tracked since 2020).

About Jake B Bloom Lpc NPPES

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

JAKE B BLOOM LPC (NPI 1730712308) is an individual mental health provider in Menomonie, Wisconsin, licensed in Wisconsin (4058-125) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1730712308
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAKE B BLOOMCredential: LPC
Location Address4076 KOTHLOW AVEMenomonie, WI 54751-3090
Mailing Address803 Ballentine RdMenomonie, WI 54751-3740 · (715) 505-0101
Phone(715) 235-4537
Fax(715) 235-4535
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
✔ NPI 1730712308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 4058-125
4076 KOTHLOW AVE, Menomonie, WI 54751
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 13

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

ARBOR PLACE, INC.
Counselor (Mental Health)
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
ARBOR PLACE, INC.
Substance Abuse Rehabilitation Facility
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
MS. JILL ANNE HASENBERG-GINDT D.O.
Family Medicine
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
STEPHANIE HURLBURT
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
KALLIE RENEE GIRDEEN APSW, MSW, IDP-AT
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 928-2345
CRYSTAL RACHICK
Counselor (Mental Health)
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
ARBOR PLACE, INC.
Clinic/Center
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
ARBOR PLACE, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537

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 Jake Bloom's NPI number?

The NPI number for Jake Bloom is 1730712308. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Jake Bloom located?

Jake Bloom practices at 4076 Kothlow Ave, Menomonie, WI 54751. The listed phone number is (715) 235-4537.

What is Jake Bloom's specialty?

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

What insurance does Jake Bloom accept?

Health plans from HealthPartners, Medica and Security Health Plan list Jake Bloom 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 Jake Bloom was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.