Organization Active NPI

Blomstra Therapy Services LLC

  • Professional Counselor
  • Woodway, TX
National Provider Identifier
1457079766
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BLOMSTRA THERAPY SERVICES LLC
Practice address
10704 Maximus St
Woodway, TX 76712-4402
Phone
(414) 520-6681
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Erin McGinty Fort, LPC-SNPI 1538308689
Title
Owner, Executive Director
Phone
(254) 294-4811

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

10704 Maximus St
Woodway, TX 76712-4402

Mailing address

10704 Maximus St
Woodway, TX 76712-4402
Phone (414) 520-6681

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1457079766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10704 MAXIMUS ST",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767124402",
            "telephone_number": "414-520-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 MAXIMUS ST",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767124402",
            "telephone_number": "414-520-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOMSTRA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGINTY FORT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "254-294-4811",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.