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

Jennifer Bloom

Individual provider Mental Health Counselor · NPI 1386182806

Jennifer Bloom is a Mental Health Counselor in Cumming, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2017.

Licensed in
FL, GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

100 Bradley Park Ln Apt 134
Cumming, GA 30040-3049
Phone: (561) 252-7815
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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 · Licence LPC011388 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH16633 (FL)

Record details

NPI number1386182806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2017
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address100 Bradley Park Ln Apt 134, Cumming, GA 30040-3049

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