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

Jake B Bloom, LPC

Individual provider Mental Health Counselor · NPI 1730712308

Jake B Bloom, LPC is a Mental Health Counselor in Menomonie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone: (715) 235-4537
Fax: (715) 235-4535
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4058-125 (WI)

Record details

NPI number1730712308
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address803 Ballentine Rd, Menomonie, WI 54751-3740

Other providers in Menomonie