Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Psychotherapy, LLC

Organization Mental Health Counselor · NPI 1598484966

Bloom Psychotherapy, LLC is a Mental Health Counselor in West Tisbury, Massachusetts. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Holly Ln
West Tisbury, MA 02575-5316
Phone: (774) 244-0598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1598484966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kayla Johnson — Licensed Mental Health Counselor · (774) 244-0598
NPI enumeratedAugust 26, 2022
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address3 Holly Ln, West Tisbury, MA 02575-5316

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