Forever Blooming Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FOREVER BLOOMING THERAPY PLLC

Practice address

1651 W Centre Ave Ste 207
Portage, MI 49024-5321

Phone

(269) 369-1869

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Miss Leah Rose RichardsonNPI 1568849099

Title

Masters Level Clinical Therapist

Phone

(269) 369-1869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Leah Rose Richardson, LMSW

  • Social Worker
  • Portage, MI
  • NPI 1568849099

  Clinical, MI

  Medicare reassignment NPD Authorized official
• Elaine Lee Bussema, LMSW

  • Clinical Social Worker
  • Three Rivers, MI
  • NPI 1013467083

  Clinical

  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1497520449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W CENTRE AVE STE 207",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245321",
            "telephone_number": "269-369-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W CENTRE AVE STE 207",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245321",
            "telephone_number": "269-369-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER BLOOMING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MASTERS LEVEL CLINICAL THERAPIST",
        "authorized_official_telephone_number": "269-369-1869",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ford
• Dorothy Ford
• Erika Ford, RDN
• Kassandra Ford
• Michael Ford, OT
• Emily Rose Forth, DDS
• Fountain View of Portage
• Cole Fournier
• Dawn Renae Fox, FNP-C
• Julianne Fox

• All providers in Portage, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.