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Active NPI 1588025951 Individual Practitioner Female Practitioner

Amber Dawn Bloom , LPC-S

Counselor - Professional • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Amber Bloom, LPC-S is a registered healthcare professional specializing in Counselor - Professional in Fort Worth, TX. Practice services are available at 1412 W MAGNOLIA AVE STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1412 W Magnolia Ave Ste 210

Fort Worth, TX 761044364

Telephone 8559145753
Associated Practice Facility / Clinic
🏢 Sood Family Medicine,pa Facility NPI 1538254370

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
783 Specialists

Practicing in Fort Worth, TX (21203 Statewide)

Telehealth Adoption Rate
2.2% 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: 2023-08-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 91735

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Britteny Petty

Counselor - Mental Health

NPI 1245999317
Eric Bembenek

Counselor - Professional

NPI 1396601555
Hannah Garner

Counselor - Professional

NPI 1477289114

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 02, 2023

Registered at 1412 W MAGNOLIA AVE STE 210, FORT WORTH, TX 761044364 (Tel: 8559145753)

👤
Provider Name / Credentials Updated August 02, 2023

Recorded as AMBER BLOOM, LPC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2023

Counselor (License #91735 in TX)

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2016

Registered at 1725 S LIBERTY ST, MUNCIE, IN 473023158 (Tel: 4108934600)

📍
Updated Business Mailing Address March 14, 2016

Registered at 1208 E CHURCHVILLE RD, STE 300, BEL AIR, MD 210143442 (Tel: 4108934600)

👤
Provider Name / Credentials Updated March 14, 2016

Recorded as AMBER BLOOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Counselor

🟢
Initial NPI Registration & Enumeration March 14, 2016

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: 1588025951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2016
Last Update: August 02, 2023
Sole Proprietor: No

Mailing Address

1208 E Churchville Rd, Ste 300

Bel Air, MD 210143442

Phone: 4108934600

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.