INTERNALLY BLOOM LLC
NPI 1801738307
Counselor - Professional in Fort Smith, AR

Active since April 06, 2026
5004 S U ST STE 200, FORT SMITH, AR 72903(479) 888-8234(479) 888-8234 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Internally Bloom Llc NPPES

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

INTERNALLY BLOOM LLC (NPI 1801738307) is a healthcare organization registered as a professional in Fort Smith, Arkansas and active in the NPI registry since April 2026. The organization lists Lisa Sisco, Owner/manager/provider, as its authorized official.

NPPES Registry Identity

NPI1801738307
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINTERNALLY BLOOM LLC
Location Address5004 S U ST STE 200Fort Smith, AR 72903-3600
Mailing Address5004 S U St Ste 200Fort Smith, AR 72903-3600 · (479) 888-8234 · Fax (479) 888-8234
Fax(479) 888-8234
Organization SubpartNo
Authorized OfficialLisa SiscoOwner/manager/provider · (479) 888-8234
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1801738307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5004 S U ST STE 200, Fort Smith, AR 72903

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Internally Bloom 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 Internally Bloom LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1750828133
5004 S U ST STE 200
Fort Smith, AR 72903
(479) 888-8234
✔ PECOS✔ Accepts MedicareSame address

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 Internally Bloom LLC's NPI number?

The NPI number for Internally Bloom LLC is 1801738307. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Internally Bloom LLC located?

Internally Bloom LLC is located at 5004 S U St Ste 200, Fort Smith, AR 72903. The listed phone number is (479) 888-8234.

What is Internally Bloom LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Internally Bloom LLC enrolled in Medicare?

Yes. Internally Bloom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internally Bloom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Internally Bloom 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 Internally Bloom LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.