Active NPI
Blossom Behavioral Health LLC
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1245055607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BLOSSOM BEHAVIORAL HEALTH LLC
- Practice address
- 6615 Pebble Beach Dr
Houston, TX 77069-2404 - Phone
- (832) 799-8587
- NPI assigned
- Nov 20, 2024
- 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
- Renee Armstrong, LPC-S, NCC
- Title
- Board Member
- Phone
- (832) 799-8587
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6615 Pebble Beach Dr
Houston, TX 77069-2404
Mailing address
6615 Pebble Beach Dr
Houston, TX 77069-2404
Phone (832) 799-8587
National Provider Directory
National Provider Directory- Tax ID family
- Blossom Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1447088950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Houston, TX
- NPI 1922201144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1245055607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6615 PEBBLE BEACH DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692404",
"telephone_number": "832-799-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 PEBBLE BEACH DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770692404",
"telephone_number": "832-799-8587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "ARMSTRONG",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "832-799-8587",
"authorized_official_credential": "LPC-S, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.