Active NPI
Blissfulness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Maumee, OH
National Provider Identifier
1033022546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BLISSFULNESS, LLC
- Practice address
- 1715 Indian Wood Cir Ste 200-5284
Maumee, OH 43537-4055 - Phone
- (419) 509-7018
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Kaminski
- Title
- Nurse Practitioner
- Phone
- (419) 509-7018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1715 Indian Wood Cir Ste 200-5284
Maumee, OH 43537-4055
Mailing address
1715 Indian Wood Cir Ste 200-5284
Maumee, OH 43537-4055
Phone (419) 509-7018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1033022546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 INDIAN WOOD CIR STE 200-5284",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374055",
"telephone_number": "419-509-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 INDIAN WOOD CIR STE 200-5284",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374055",
"telephone_number": "419-509-7018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISSFULNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "KAMINSKI",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "419-509-7018"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.