Active NPI
Blossom Therapy LLC
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1073433389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BLOSSOM THERAPY LLC
- Practice address
- 3618 Canyon Lake Dr Ste 107
Rapid City, SD 57702-3129 - Phone
- (605) 608-2255
- NPI assigned
- Jul 16, 2026
- Last updated
- Aug 9, 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
- Carla Starr, MSW
- Title
- Therapist/Owner
- Phone
- (605) 608-2255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
3618 Canyon Lake Dr Ste 107
Rapid City, SD 57702-3129
Mailing address
3213 W Main St # 259
Rapid City, SD 57702-2314
Phone (605) 608-2255
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Rapid City, SD
- NPI 1285271791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786233600000",
"number": "1073433389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 W MAIN ST # 259",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022314",
"telephone_number": "605-608-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 CANYON LAKE DR STE 107",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577023129",
"telephone_number": "605-608-2255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-16",
"last_updated": "2026-08-09",
"certification_date": "2026-08-09",
"status": "A",
"authorized_official_last_name": "STARR",
"authorized_official_first_name": "CARLA",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "605-608-2255",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.