Blossom Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009096 Issued in CT

Legal business name

BLOSSOM COUNSELING, LLC

Practice address

300 Federal Rd Ste 209
Brookfield, CT 06804-2412

Phone

(203) 744-9820

NPI assigned

Jun 30, 2017

Organization subpart

No

Name

Mrs. Laurie A Parisi, LCSW

Title

Owner

Phone

(203) 744-9820

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2017.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1063933844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DEER RUN RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041723",
            "telephone_number": "203-744-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FEDERAL RD STE 209",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042412",
            "telephone_number": "203-744-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-744-9820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008069995",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brookfield, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.