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

Cynthia Bloom

Individual provider Mental Health Counselor · NPI 1063129286

Cynthia Bloom is a Mental Health Counselor in Bloomington, Minnesota. Qualified in 2015, 11 years ago. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2022

Practice location Address checks out

1216 W 96th St Ste A
Bloomington, MN 55431-2657
Phone: (952) 884-4882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC02855 (MN)

Record details

NPI number1063129286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address1216 W 96th St Ste A, Bloomington, MN 55431-2657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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