Jake B. Bloom, LPC
NPI 1730712308ActiveIndividual· Counselor, Mental Health· Menomonie, WI
Counselor, Mental Health (LPC) in Menomonie, Wisconsin, licensed in WI, with an NPI issued in February 2020.
Overview
| NPI | 1730712308 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Feb 21, 2020 |
| Last updated in NPPES | Dec 2, 2020 |
| Certified by provider | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 4058-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Counselor, Mental Health providers in Menomonie
- 1013458173
- 1174012694
- 1619144714
- 1154625200
- 1609203843
- 1538253745
- 1063100808
- 1053103044
- 1093746729
- 1851755318
- 1578755625
- 1659512234