Organization Active NPI

Blossoming Free Mental Health Counseling PLLC

  • Mental Health Counselor
  • Moyock, NC
National Provider Identifier
1619845880
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOSSOMING FREE MENTAL HEALTH COUNSELING PLLC
Practice address
215 Iris Cir
Moyock, NC 27958-7024
Phone
(845) 717-0166
NPI assigned
Oct 28, 2025
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Jessica Burroughs, LMHCNPI 1649883414
Title
Ceo
Phone
(973) 557-6639

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

215 Iris Cir
Moyock, NC 27958-7024

Mailing address

PO Box 35
Moyock, NC 27958-0035
Phone (845) 717-0166

Other practice location 1

29 Melissa Rd
Kingston, NY 12401-7437
Phone (845) 717-0166

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1619845880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279580035",
            "telephone_number": "845-717-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 IRIS CIR",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279587024",
            "telephone_number": "845-717-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Melissa Rd",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124017437",
            "country_code": "US",
            "telephone_number": "845-717-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOMING FREE MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-557-6639",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moyock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.