ILYSE BLOOM LMFT
NPI 1821662396
Marriage & Family Therapist in Boulder, CO
About Ilyse Bloom Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILYSE BLOOM LMFT (NPI 1821662396) is an individual marriage & family therapist in Boulder, Colorado, licensed in Colorado (1739) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2003).
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
Ilyse Bloom Lmft 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 Ilyse Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boulder, CO 80303
- Reassigned Medicare billing, Colorado enrollment
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.
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 Ilyse Bloom's NPI number?
The NPI number for Ilyse Bloom is 1821662396. It was assigned to this individual provider in the NPPES registry on May 18, 2021.
Where is Ilyse Bloom located?
Ilyse Bloom practices at 3100 Arapahoe Ave Ste 101, Boulder, CO 80303. The listed phone number is (130) 393-1849.
What is Ilyse Bloom's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Ilyse Bloom enrolled in Medicare?
Yes. Ilyse 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 Ilyse Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilyse Bloom reassigns Medicare benefits to Ilyse Bloom, LLC (Boulder, 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 Ilyse 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 Ilyse Bloom was last updated on May 18, 2021. 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.
# Ilyse Bloom, LMFT · NPI 1821662396
Marriage & Family Therapist provider in Boulder, Colorado. Individual provider, active in the CMS NPPES registry since May 18, 2021.
## Identity
- **NPI:** 1821662396 (Entity type: Individual)
- **Enumerated:** May 18, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 1739 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3100 ARAPAHOE AVE STE 101, Boulder, CO 80303-1050
- **Phone:** (130) 393-1849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Ilyse Bloom, LLC (NPI 1053107359, Boulder, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2003
## Record status
- **NPPES last updated:** May 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1821662396) · Data from the CMS NPPES public registry.