Charles M Bloom, Jr., QMHP
Counselor, Mental Health in Springfield, Oregon
1699320325- Practice location
- 1651 Centennial Blvd, Springfield, OR 97477-3363
- Phone
- 541-726-2467
- Fax
- 541-684-4156
- Last updated
- January 6, 2020
Charles M Bloom, Jr., QMHP is a Counselor, Mental Health based in Springfield, OR. Charles M Bloom, Jr., QMHP holds the professional credentials of QMHP. The NPI number for Charles M Bloom, Jr., QMHP is 1699320325. The current practice location address is 1651 Centennial Blvd, Springfield, OR 97477-3363 and the office can be reached by phone at 541-726-2467 and by fax at 541-684-4156. The NPI was assigned on August 8, 2019 and the record was last updated in NPPES on January 6, 2020.
●Provider Profile Details
- NPI Number
- 1699320325
- Provider Name
- Charles Michael Bloom, Jr.
- Credential
- QMHP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- August 8, 2019
- Last Update Date
- January 6, 2020
- Certification Date
- January 6, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1651 Centennial Blvd
Springfield, OR 97477-3363 - City
- Springfield
- State
- Oregon
- ZIP
- 97477-3363
- Country
- US
- Phone Number
- 541-726-2467
- Fax Number
- 541-684-4156
✉Business Mailing Address
- Address
- 687 Cheshire Ave
Eugene, OR 97402-5060 - City
- Eugene
- State
- OR
- ZIP
- 97402-5060
- Phone Number
- 541-684-4100
- Fax Number
- 541-684-4156
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Springfield →?Frequently Asked Questions
What is the NPI number of Charles M Bloom, Jr., QMHP?
The NPI number of Charles M Bloom, Jr., QMHP is 1699320325. It was assigned on August 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Charles M Bloom, Jr., QMHP?
Charles M Bloom, Jr., QMHP is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Charles M Bloom, Jr., QMHP practice?
The practice location is 1651 Centennial Blvd, Springfield, OR 97477-3363. The office can be reached at 541-726-2467 (phone) or 541-684-4156 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699320325 directly on the NPPES registry website at npiregistry.cms.hhs.gov.