MEDICARE: DESERT BLOOM COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1235091026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT BLOOM COUNSELING PLLC

Provider Business Mailing Address
First Line	:	9036 KETTERING AVE
Second Line	:
City	:	WHITE LAKE
State	:	MI
Zip	:	48386-4254
Country	:	US
Telephone Number	:	248-302-6466
Fax Number	:

Provider Business Practice Location Address
First Line	:	7805 COOLEY LAKE RD STE 200
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48324-3516
Country	:	US
Telephone Number	:	248-410-8153
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	JENNA ELWELL
Credential	:
Telephone Number	:	248-302-6466

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1942956180 — JENNA ELWELL
Practice Location Address:

7805 COOLEY LAKE RD STE 200
WEST BLOOMFIELD, MI
48324-3516

Practice Phone: 248-302-6466
Practice Fax:

1730357179 — ELISE LILLARD IPOCK M.S.
Practice Location Address:

414 HARRISON ST
WEST LAFAYETTE, IN
47906-3516

Practice Phone: 765-743-4639
Practice Fax:

1548540248 — MRS. ROBERTA LYNNE FINLEY CASAC
Practice Location Address:

620 PETER PAUL DR
WEST ISLIP, NY
11795-3516

Practice Phone: 631-661-7586
Practice Fax:

1124390505 — SPECTRUM HEALTH UNITED
Practice Location Address:

701 S GREENVILLE WEST DR
GREENVILLE, MI
48838-3516

Practice Phone: 616-754-6185
Practice Fax:

1831527654 — SPECTRUM HEALTH UNITED
Practice Location Address:

701 S GREENVILLE WEST DR , STE. 1
GREENVILLE, MI
48838-3516

Practice Phone: 616-754-6185
Practice Fax:

Directions to “DESERT BLOOM COUNSELING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.