Organization Active NPI

Mindful Blossom Counseling LLC

  • Professional Counselor
  • Berkley, MI
National Provider Identifier
1376456822
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL BLOSSOM COUNSELING LLC
Practice address
4289 Gardner Ave
Berkley, MI 48072-1485
Phone
(586) 805-0655
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Liala Maryann Reece, MA, LPC, NCC
Title
Licensed Professional Counselor
Phone
(586) 805-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4289 Gardner Ave
Berkley, MI 48072-1485

Mailing address

14370 Penrod St
Detroit, MI 48223-3550

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1376456822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14370 PENROD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 GARDNER AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721485",
            "telephone_number": "586-805-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BLOSSOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "LIALA",
        "authorized_official_middle_name": "MARYANN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "586-805-0655",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "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 Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.