Bloom Behavioral Health Partners PLLC
NPI 1174176366ActiveOrganization· Counselor, Mental Health· Grand Rapids, MI
Counselor, Mental Health in Grand Rapids, Michigan, registered in NPPES in July 2019. The authorized official on file is Matthew Thatcher, L.P.C., Owner / Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174176366 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2019 |
| Last updated in NPPES | Feb 25, 2022 |
| Certified by provider | Feb 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
| Social Worker | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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