Organization Active NPI

Blossoming Souls Wellness LLC

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1083512719
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOSSOMING SOULS WELLNESS LLC
Practice address
358 SE Claire St
Roseburg, OR 97470-3759
Phone
(804) 410-4159
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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

Authorized official

Name
Zarasun Tamez-Keys Murphy, LCSW
Title
Owner/Psychotherapist
Phone
(804) 410-4159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

358 SE Claire St
Roseburg, OR 97470-3759

Mailing address

358 SE Claire St
Roseburg, OR 97470-3759
Phone (804) 410-4159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793404800000",
    "number": "1083512719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 SE CLAIRE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703759",
            "telephone_number": "804-410-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 SE CLAIRE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703759",
            "telephone_number": "804-410-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING SOULS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ZARASUN",
        "authorized_official_middle_name": "TAMEZ-KEYS",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "804-410-4159",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.