MS. AMBER HOLLY BLOOM (NPI# 1972004828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972004828 |
| Entity Type | Individual |
| Full Name | MS. AMBER HOLLY BLOOM |
| Credential | MA, LMFT |
| Practice Address |
1801 American Blvd E Ste 1 Bloomington MN 55425-1230 |
| Practice Telephone | 9527376203 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3645 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588025951 | Amber Bloom | Counselor | 1725 S Liberty St, Muncie, IN 47302-3158 | 2016-03-14 |
| 1770906182 | Amber Bloom | Chiropractor | 9045 Jefferson Highway, River Ridge, LA 70123 | 2014-01-22 |
| 1326050055 | Amber Bloom | Physical Therapist | 24 5th Ave, Apt. 1112, New York, NY 10011-8858 | 2006-08-12 |
| Street Address |
1801 AMERICAN BLVD E STE 1 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609266584 | Christopher Ray Wlaschin | Social Worker | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2015-01-29 |
| 1487261004 | Zong Cheng Vang | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-09-28 |
| 1124635743 | Pajar Michelle Lee | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-09-28 |
| 1275166464 | Sarah Dawn Crowley | Behavior Technician | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2020-02-17 |
| 1467094839 | Brittney Moore | Psychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-10-17 |
| 1942850003 | Gregory R Simonson | Psychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-09-19 |
| 1265998074 | Mariko Ortner | Social Worker | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-02-17 |
| 1831663814 | Katie Lynn Burggraff | Counselor | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2019-01-14 |
| 1629548136 | Nicholas John Spangler | Clinical Neuropsychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-11-27 |
| 1093282287 | Drew Benson | Psychologist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2018-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| 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 |
|---|---|---|---|---|
| 1770092546 | Jessica Parker | Marriage & Family Therapist | 10624 Xavier Ave S, Bloomington, MN 55437-2726 | 2017-09-25 |
| 1366782336 | Anna Hollerich | Marriage & Family Therapist | 9048 Johnson Ave S, Bloomington, MN 55437-1806 | 2013-02-27 |
| 1548514136 | Katelyn J Minelli | Marriage & Family Therapist | 1136 W 17th St, Suite B, Bloomington, IN 47404-3002 | 2012-11-03 |
| 1093061301 | The Minnesota Center for Couples and Family Therapy, LLC | Marriage & Family Therapist | 1120 E 80th St, Suite 200, Bloomington, MN 55420-1462 | 2012-07-24 |
| 1093088544 | Timothy James Kaehr | Marriage & Family Therapist | 1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232 | 2012-02-14 |
| 1003195082 | Judith Louise Ross Agustin | Marriage & Family Therapist | 8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 | 2011-08-09 |
| 1477786218 | Schuyler Fisk Seager Vi | Marriage & Family Therapist | 1000 E 80th St, Bloomington, MN 55420-1424 | 2009-08-27 |
| 1740409242 | Erin Elizabeth Leach | Marriage & Family Therapist | 140 W 98th St, Suite 222, Bloomington, MN 55420-4865 | 2007-04-24 |
| 1073646964 | Joseph D Strano | Marriage & Family Therapist | 2 Whites Pl, Bloomington, IL 61701-1860 | 2007-03-13 |
| 1639236144 | Heidi D Schmidt | Marriage & Family Therapist | 9201 E Bloomington Fwy Ste Q, Bloomington, MN 55420-3413 | 2007-01-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
Please comment or provide details below to improve the information on MS. AMBER HOLLY 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.