MRS. AMANDA BLOOM (NPI# 1164660551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164660551 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BLOOM |
| Credential | M.ED., NCC, LPC |
| Practice Address |
355 S Madison Blvd Suite C1 Roxboro NC 27573-5485 |
| Practice Telephone | 3365998366 |
| Practice Fax Number | 3363226168 |
| Mailing Telephone | 3365998366 |
| Mailing Fax Number | 3363226168 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7282 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639739402 | Amanda Jeannine Bloom | Counselor | 3107 S Dearborn St, Seattle, WA 98144-3228 | 2019-06-14 |
| 1518251925 | Amanda Bloom | Behavioral Analyst | 3671 Turtle Run Blvd, Apt. 1331, Coral Springs, FL 33067-4213 | 2011-06-02 |
| 1417980681 | Amanda Bloom | Physician Assistant | 3124 International Blvd, Suite 200, Oakland, CA 94601-2902 | 2006-07-09 |
| 1023570066 | Amanda R Bloom | Occupational Therapy Assistant | 305 Locust Ave, Oakdale, NY 11769-1652 | 2019-04-01 |
| 1194178822 | Amanda Bloom | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2016-07-18 |
| 1013287671 | Amanda L Bloom | Counselor | 1807 Smith St, Logansport, IN 46947-1576 | 2012-01-12 |
| Street Address |
355 S MADISON BLVD SUITE C1 |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-5485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145305 | Person County Health Department | Clinic/Center | 355 S Madison Blvd, Ste A, Roxboro, NC 27573-5485 | 2006-11-29 |
| 1972987972 | Shenita Paulette Mangum | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2015-07-20 |
| 1710365192 | Kathleen Oconnell | Counselor | 355 S Madison Blvd, Suite C, Roxboro, NC 27573 | 2015-05-18 |
| 1952657926 | Merry Leathers | Counselor | 355 S Madison Blvd, Roxboro, NC 27573-5485 | 2012-07-27 |
| 1225301492 | Kevin T Ashe | Counselor | 355 S Madison Blvd, Roxboro, NC 27573-5485 | 2012-02-17 |
| 1952694713 | Leslie Hoagland | Counselor | 355 S Madison Blvd, C1, Roxboro, NC 27573-5485 | 2011-05-26 |
| 1477853786 | Peter Charles Soule | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2010-11-02 |
| 1144539768 | Triumph LLC | Psychiatry & Neurology | 355 S Madison Blvd, Ste. C2, Roxboro, NC 27573-5485 | 2010-09-30 |
| 1578701389 | Felipe Khristopher Blue | Counselor | 355 S Madison Blvd, Suite C1, Roxboro, NC 27573-5485 | 2009-02-02 |
| 1043455934 | Robin A Jackson-thorne | Social Worker | 355 S Madison Blvd, Suite C2, Roxboro, NC 27573-5485 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467897306 | Changing Lives Family Services | Counselor | 120 Maggie Ln, Roxboro, NC 27573-2661 | 2013-05-06 |
| 1518244979 | Lilianne R Smith | Counselor | 355 S Madison Blvd # C1, Roxboro, NC 27573-5485 | 2011-11-12 |
| 1811180516 | Kimberly Pearce | Counselor | 1524 Mill Hill Rd, Roxboro, NC 27574-8671 | 2007-08-26 |
| 1124312913 | Sandra Wilson Wilbourne | Counselor | 20 Court St, Roxboro, NC 27573-5202 | 2011-06-08 |
| 1245363746 | Sariah Marie Hopkins | Counselor | 355 S Madison Blvd Ste C, Roxboro, NC 27573-5485 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.