Organization Active NPI

Blossom Therapy LLC

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1073433389
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Authorized official

Name
Carla Starr, MSWNPI 1285271791
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.