Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215777305 Individual Practitioner Female Practitioner

Jensen Leigh Bloom , CCC-SLP

Speech-Language Pathologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Jensen Bloom, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fargo, ND. Practice services are available at 3175 SIENNA DR S STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3175 Sienna Dr S Ste 103

Fargo, ND 581048910

Telephone 7015321906
Fax 7015321896
Associated Practice Facility / Clinic
🏢 Smith Sisters Inc Facility NPI 1932453404

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
259 Specialists

Practicing in Fargo, ND (1024 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 2624

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Elizabeth Elgie , MS CF-SLP

Speech-Language Pathologist

NPI 1003473752

MSCFSLP

NPI 1033675574

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Dr. Aeriana Olson , DPT

Physical Therapist - Pediatrics

NPI 1134812639

Doctor of Physical Therapy

Lauren Rud , MS CCC-SLP

Speech-Language Pathologist

NPI 1144936188

MSCCCSLP

Katie Hinnenkamp , CCC-SLP

Speech-Language Pathologist

NPI 1164950846

Speech-Language Pathologist (Certificate of Clinical Competence)

Suzanne Boseck , OTR, L

Occupational Therapist

NPI 1205143906

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 3175 SIENNA DR S STE 103, FARGO, ND 581048910 (Tel: 7015321906)

📍
Updated Business Mailing Address September 29, 2025

Registered at 3156 BLUESTEM DR APT 110, WEST FARGO, ND 580783302 (Tel: 7012193705)

👤
Provider Name / Credentials Updated September 29, 2025

Recorded as JENSEN BLOOM, CCC-SLP

NPI Profile Active May 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2024

Registered at 3060 FRONTIER WAY S, FARGO, ND 581048909 (Tel: 7012193705)

📍
Updated Business Mailing Address May 28, 2024

Registered at 1930 E ROSE CREEK PKWY S, FARGO, ND 581046837 (Tel: 7012193705)

👤
Provider Name / Credentials Updated May 28, 2024

Recorded as JENSEN BLOOM, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2024

Speech-Language Pathologist (License #2624 in ND)

🟢
Initial NPI Registration & Enumeration May 28, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215777305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2024
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

3156 Bluestem Dr Apt 110

West Fargo, ND 580783302

Phone: 7012193705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.