Organization Active NPI

Blooming Magnolia Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danvers, MA
National Provider Identifier
1619674744
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLOOMING MAGNOLIA COUNSELING LLC
Practice address
230 Independence Way # 1082
Danvers, MA 01923-3692
Phone
(978) 717-3303
Fax
(855) 797-7576
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Genesis Barrientos, LICSWNPI 1699292557
Title
Clinician
Phone
(781) 913-7936

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

230 Independence Way # 1082
Danvers, MA 01923-3692

Mailing address

230 Independence Way # 1082
Danvers, MA 01923-3692
Phone (978) 717-3303

National Provider Directory

National Provider Directory

Locations

230 Independence Way
#1082
Danvers, MA 01923
Phone (978) 717-3303

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1619674744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE WAY # 1082",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233692",
            "telephone_number": "978-717-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE WAY # 1082",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233692",
            "telephone_number": "978-717-3303",
            "fax_number": "855-797-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MAGNOLIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BARRIENTOS",
        "authorized_official_first_name": "GENESIS",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "781-913-7936",
        "authorized_official_credential": "LICSW"
    },
    "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": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.