PEOPLE BLOOM COUNSELING, PLLC (NPI# 1073020079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073020079 |
| Entity Type | Organization |
| Organization Name | PEOPLE BLOOM COUNSELING, PLLC |
| Practice Address |
8201 164th Ave Ne Ste 200 Redmond WA 98052-7615 |
| Practice Telephone | 2064573518 |
| Practice Fax Number | 8449659483 |
| Mailing Telephone | 2064573518 |
| Mailing Fax Number | 8449659483 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | MS. ADA K PANG (MANAGER/OWNER) |
| Authorized Official Telephone | 2064573518 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
8201 164TH AVE NE STE 200 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-7615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700846128 | Robin Walden | Social Worker | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2006-03-28 |
| 1194330373 | Sunny H Patel | Marriage & Family Therapist | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2020-09-14 |
| 1598319808 | Shu Jin | Counselor | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2019-07-25 |
| 1245760966 | Katie Raser | Counselor | 8201 164th Ave Ne Ste 200, Redmond, WA 98052 | 2017-06-14 |
| 1386034411 | Julie Elizabeth Balazs | Speech-Language Pathologist | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2015-01-27 |
| 1275923534 | Ronald O Powell Phd Pllc | Community/Behavioral Health | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2015-01-26 |
| 1386047967 | Christie Driskell | Social Worker | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2014-09-26 |
| 1720489545 | Na Cube LLC | Durable Medical Equipment & Medical Supplies | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099550 | Jared Utterback | Marriage & Family Therapist | 7515 Falcon Crest Dr Ste 200, Redmond, OR 97756-5014 | 2019-05-22 |
| 1174041594 | Melanie Liperi | Marriage & Family Therapist | 7432 245th Way Ne, Redmond, WA 98053-8687 | 2017-09-06 |
| 1013365576 | April Jones | Marriage & Family Therapist | 22500 Ne Marketplace Dr Ste 206a, Redmond, WA 98053-2033 | 2016-05-25 |
| 1093104085 | Melissa Haigh | Marriage & Family Therapist | 15965 Ne 85th St Ste 101, Redmond, WA 98052-3593 | 2015-01-14 |
| 1972912210 | Mary Donovan | Marriage & Family Therapist | 7345 164th Ave Ne, Ste I145 -1233, Redmond, WA 98052-9805 | 2014-08-12 |
| 1841613239 | Brenda Kinsman | Marriage & Family Therapist | 27915 Ne 26th St, Redmond, WA 98053-3116 | 2014-01-21 |
| 1376987909 | Leslie Bergman Savage | Marriage & Family Therapist | 17813 Ne 26th St, Redmond, WA 98052-5848 | 2013-04-25 |
| 1104160050 | Anthony Dicenzo | Marriage & Family Therapist | 946 Sw Veterans Way Ste 102, Redmond, OR 97756-2745 | 2012-11-15 |
| 1235443433 | Aimee White Heffernan | Marriage & Family Therapist | 16700 Ne 79th St Ste 103, Redmond, WA 98052-4465 | 2010-07-29 |
| 1730413782 | Jamie Gere | Marriage & Family Therapist | 7810 Brown St Ste 201, Redmond, WA 98052-4358 | 2009-09-23 |
| Find all providers in REDMOND | ||||
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| 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.