Organization Active NPI

Blossom Within Therapy,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mililani, HI
National Provider Identifier
1013646090
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLOSSOM WITHIN THERAPY,LLC
Practice address
95-227 Waikalani Dr Apt A905
Mililani, HI 96789-3539
Phone
(206) 473-9732
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bridget Ellen Carranza, LMFTNPI 1467113225
Title
Therapist
Phone
(808) 841-5676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

95-227 Waikalani Dr Apt A905
Mililani, HI 96789-3539

Mailing address

95-227 Waikalani Dr Apt A905
Mililani, HI 96789-3539
Phone (206) 473-9732

Other names 1

  • Blossom Within Therapy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1013646090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-227 WAIKALANI DR APT A905",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893539",
            "telephone_number": "206-473-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-227 WAIKALANI DR APT A905",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893539",
            "telephone_number": "206-473-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM WITHIN THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-841-5676",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Within Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.