IndividualActive
Jake Bloom, LPC
NPI 1730712308 · Mental Health Counselor · Menomonie, WI
Jake Bloom, LPC is a Mental Health Counselor provider in Menomonie, WI (NPI 1730712308).
Provider details
- NPI number
- 1730712308
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 4058-125 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone: (715) 235-4537
Fax: (715) 235-4535
Approximate (ZIP-level) locationGet directions
Mailing address
803 Ballentine Rd
Menomonie, WI 54751-3740
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Frequently asked questions
- What is Jake Bloom's NPI number?
- Jake Bloom's National Provider Identifier (NPI) is 1730712308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Bloom's specialty?
- Jake Bloom is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jake Bloom located?
- Jake Bloom's practice location on file with NPPES is 4076 Kothlow Ave, Menomonie, WI 54751-3090.
- What is Jake Bloom's phone number?
- The practice phone number listed in the NPPES registry for Jake Bloom is (715) 235-4537.
- Is Jake Bloom's NPI active?
- Yes — Jake Bloom's NPI (1730712308) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.