Active NPI
Blossoming Free Mental Health Counseling PLLC
- Mental Health Counselor
- Moyock, NC
National Provider Identifier
1619845880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Burroughs, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Mental Health Counselor
- Moyock, NC
- NPI 1649883414
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.