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

Ilyse Bloom, LMFT

Individual provider Marriage & Family Therapist · NPI 1821662396

Ilyse Bloom, LMFT is a Marriage and Family Therapist in Boulder, Colorado. Graduated from Nova Southeastern College of Osteo Medicine in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
23
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
CO
In the registry since
2021
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

3100 Arapahoe Ave Ste 101
Boulder, CO 80303-1050
Phone: (130) 393-1849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1739 (CO)

Record details

NPI number1821662396
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address3100 Arapahoe Ave Ste 101, Boulder, CO 80303-1050

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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