Lotus Bloom Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOTUS BLOOM COUNSELING, LLC

Practice address

700 S 8TH Ave
Brandon, SD 57005-1772

Phone

(509) 845-0117

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannalee Mask, MSW

Title

Owner

Phone

(509) 845-0117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1568373991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 8TH AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051772",
            "telephone_number": "509-845-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 8TH AVE",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051772",
            "telephone_number": "509-845-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLOOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "MASK",
        "authorized_official_first_name": "SHANNALEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-845-0117",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Lee Kruckenberg, D.C.
• Lindsey Krueger, SW
• Jessica Landry, DPT
• Tesza Jo Larios, DOULA
• Luke Laycock, PT
• Karlie Renae Maki, ED.S., NCSP
• Kelly Mayo, LMT
• Michelle McElroy, M.D.
• McCamey McKinley, DDS
• Med Star Paramedic Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brandon, SD
• Providers in Brandon, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.