OrganizationActive
Bloom Wellness LLC
NPI 1114723558 · Clinical Social Worker · Green Mountain Falls, CO
Provider details
- NPI number
- 1114723558
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Parent organization
- Bloom Wellness LLC
- Organization subpart
- Yes
- Authorized official
- Laura Magnuson, Owner/Clinician(719) 286-9077
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10585 Ute Pass Avenue
Green Mountain Falls, CO 80809
Phone: (719) 286-9077
Street-level locationGet directions
Mailing address
417 Beaver Pond Rd
Divide, CO 80814-7792
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.