ADAM BLOOM (NPI# 1013361922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013361922 |
| Entity Type | Individual |
| Full Name | ADAM BLOOM |
| Credential | LCPC, LPC, NCC, MAC |
| Practice Address |
2301 Martin Luther King Jr Ave Se Washington DC 20020-5813 |
| Mailing Address |
1225 Crockett Ln Silver Spring MD 20904-6658 |
| Practice Telephone | 2027135101 |
| Mailing Telephone | 2027135101 |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PRC14773 | DC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC6982 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740375047 | Adam Harry Bloom | Ophthalmology | 1700 East Jericho Turnpike, Huntington, NY 11743 | 2006-10-03 |
| 1922348655 | Adam Scott Bloom | Emergency Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-02-16 |
| 1700173663 | Adam Benjamin Bloom | Psychiatry & Neurology | 4 Allegheny Ctr, Pittsburgh, PA 15212-5255 | 2011-06-29 |
| Street Address |
2301 MARTIN LUTHER KING JR AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548673387 | Jason Nicholsen | Social Worker | 2301 Martin Luther King Jr Ave Se, Whitman Walker Health, Washington, DC 20020-5813 | 2014-06-10 |
| 1174067896 | Camille Adams | Social Worker | 2301 Martin Luther King Jr Ave Se, Washington, DC 20020-5813 | 2016-12-14 |
| 1902253222 | Traci D Griggs | Registered Nurse | 2301 Martin Luther King Jr Ave Se, Washington, DC 20020-5813 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on ADAM BLOOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.