Organization Active NPI

Blossoming Insight Counseling and Supervision Services LLC

  • Professional Counselor
  • Trenton, MI
National Provider Identifier
1235650763
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016031 Issued in MI
Legal business name
BLOSSOMING INSIGHT COUNSELING AND SUPERVISION SERVICES LLC
Practice address
2360 W Jefferson Ave Ste 209
Trenton, MI 48183-0139
Phone
(734) 556-2708
NPI assigned
Jul 6, 2017
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Mrs. Angel Paluskas, LPCNPI 1992169460
Title
Owner
Phone
(734) 556-2708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016031 MI Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

2360 W Jefferson Ave Ste 209
Trenton, MI 48183-0139

Mailing address

28476 Barbara LN
Grosse Ile, MI 48138-2001

Other practice location 1

28476 Barbara Ln
Grosse Ile, MI 48138-2001
Phone (734) 556-2708

Other identifiers 1

IdentifierTypeStateIssuer
6401016031OtherMILICENSE

National Provider Directory

National Provider Directory

Locations

2360 W Jefferson Ave
Ste 209
Trenton, MI 48183
Phone (734) 391-6886

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1235650763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28476 BARBARA LN",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JEFFERSON AVE STE 209",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481830139",
            "telephone_number": "734-556-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28476 Barbara Ln",
            "address_purpose": "LOCATION",
            "city": "Grosse Ile",
            "state": "MI",
            "postal_code": "481382001",
            "country_code": "US",
            "telephone_number": "734-556-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOMING INSIGHT COUNSELING AND SUPERVISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PALUSKAS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-556-2708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016031",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6401016031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.