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

Kathleen Bloom

Individual provider Professional Counselor · NPI 1952794950

Kathleen Bloom is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 1987, 39 years ago. Practices with Kent County Cmh Authority, a 59-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
39
Licensed in
MI
In the registry since
2015
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Practice location Address checks out

1558 Pine Ave NW
Grand Rapids, MI 49504-3029
Phone: (616) 901-2777
Fax: (616) 336-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401001493 (MI)

Record details

NPI number1952794950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2015
Last updated in NPPESMarch 15, 2015

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Kent County Cmh Authority — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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