Anchor And Bloom Counseling LLC
Counselor, Mental Health in Maplewood, MN. Organization (NPI-2).
NPI number1114801487
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1114801487
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchor And Bloom Counseling LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2395 Ariel St NMaplewood, MN 55109-2248
Phone 651-650-2533
Mailing address
1367 County Road H2White Bear Township, MN 55110-2241
Phone 320-237-7075
Other practice locations
1367 County Road H2
White Bear Township, MN 55110-2241
White Bear Township, MN 55110-2241
Phone 320-237-7075
Authorized official
Ericka Reil
Owner
3202377075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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