BETH BLOOM (NPI# 1386605178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386605178 |
| Entity Type | Individual |
| Full Name | BETH BLOOM |
| Credential | LPC |
| Practice Address |
8220 Castor Ave Philadelphia PA 19152-2729 |
| Practice Telephone | 2157284600 |
| Mailing Telephone | 2157284600 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC001917 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740240068 | Beth Heather Bloom | Dietitian, Registered | 15 N Pine St, Massapequa, NY 11758-2455 | 2006-03-23 |
| Street Address |
8220 CASTOR AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900278 | Tahanee Munir | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-07-31 |
| 1396369583 | Lesa Drake | Social Worker | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-06-03 |
| 1710509237 | Fernanda Ann Formel | Marriage & Family Therapist | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-05-07 |
| 1083247431 | Hannah Sadock | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-02-13 |
| 1790316024 | Raelea Webster | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-01-27 |
| 1215577119 | Madeleine Emily Ball | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2020-01-09 |
| 1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
| 1629615190 | Rebecca Kline | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
| 1821634452 | Serra Karamete | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-11-19 |
| 1134762511 | Cassandra Lamothe | Registered Nurse | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
| 1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
| 1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
| 1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
| 1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
| 1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
| 1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
| 1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
| 1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on BETH 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.