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JENNIFER ANN BLOOM LMFT
NPI 1942961248
Marriage & Family Therapist in Santa Monica, CA

Active since January 07, 2022Opted out of Medicare · through Jan 1, 2028
1833 12TH ST APT B, SANTA MONICA, CA 90404(424) 275-7252 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2023, Jan 7, 2022 (2 updates tracked since 2022).

About Jennifer Ann Bloom Lmft NPPES

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

JENNIFER ANN BLOOM LMFT (NPI 1942961248) is an individual marriage & family therapist in Santa Monica, California, licensed in California (141174) and active in the NPI registry since January 2022. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1942961248
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER ANN BLOOMCredential: LMFT
Location Address1833 12TH ST APT BSanta Monica, CA 90404-4625
Mailing Address1833 12th St Apt BSanta Monica, CA 90404-4625 · (424) 275-7252
Phone(424) 275-7252
Sole ProprietorYes
Enumeration DateJanuary 7, 2022
Last NPPES UpdateMarch 14, 20242 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1942961248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 141174
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1833 12TH ST APT B, Santa Monica, CA 90404
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Other Identifiers 1

OtherLMFT141174CA · Bbs Lmft Registration

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Ann Bloom Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jennifer Bloom's NPI number?

The NPI number for Jennifer Bloom is 1942961248. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Jennifer Bloom located?

Jennifer Bloom practices at 1833 12th St Apt B, Santa Monica, CA 90404. The listed phone number is (424) 275-7252.

What is Jennifer Bloom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Bloom enrolled in Medicare?

No. Jennifer Bloom has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Bloom was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.