KATHLEEN BLOOM
NPI 1952794950
Counselor - Professional in Grand Rapids, MI
About Kathleen Bloom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BLOOM (NPI 1952794950) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401001493) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Kathleen Bloom 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 Kathleen Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 164 clinicians in this Medicare group
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 Kathleen Bloom's NPI number?
The NPI number for Kathleen Bloom is 1952794950. It was assigned to this individual provider in the NPPES registry on March 15, 2015.
Where is Kathleen Bloom located?
Kathleen Bloom practices at 1558 Pine Ave NW, Grand Rapids, MI 49504. The listed phone number is (616) 901-2777.
What is Kathleen Bloom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Bloom enrolled in Medicare?
Yes. Kathleen 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 Kathleen Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Bloom reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). 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 Kathleen Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Bloom accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kathleen 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 Kathleen Bloom was last updated on March 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kathleen Bloom · NPI 1952794950
Professional provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 15, 2015.
## Identity
- **NPI:** 1952794950 (Entity type: Individual)
- **Enumerated:** March 15, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401001493 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1558 PINE AVE NW, Grand Rapids, MI 49504-3029
- **Phone:** (616) 901-2777 · **Fax:** (616) 336-4333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kent County Cmh Authority (NPI 1194617811, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** March 15, 2015
- **Other identifiers:** Medicaid 101YO2500X (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1952794950) · Data from the CMS NPPES public registry.