Lumen Bloom Therapy, PLLC
NPI 1184514077ActiveOrganization· Social Worker, Clinical· Bloomington, IL
Social Worker, Clinical in Bloomington, Illinois, registered in NPPES in July 2025. The authorized official on file is Jaime Cox, LCSW, Member/Owner.
Overview
| NPI | 1184514077 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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