Active NPI
Thistle and Bloom Collective LLC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1205748852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- THISTLE AND BLOOM COLLECTIVE LLC
- Practice address
- 1601 Walnut St Ste 901
Philadelphia, PA 19102-2905 - Phone
- (267) 598-5603
- NPI assigned
- Sep 18, 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
- Gwendolyn Gause, LPC
- Title
- Clinical Director
- Phone
- (267) 598-5603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1601 Walnut St Ste 901
Philadelphia, PA 19102-2905
Mailing address
390 Commerce Dr
Fort Washington, PA 19034-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1205748852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 COMMERCE DR",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WALNUT ST STE 901",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022905",
"telephone_number": "267-598-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THISTLE AND BLOOM COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "GAUSE",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "267-598-5603",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.