Blossom Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-4611 Issued in ID

Legal business name

BLOSSOM COUNSELING

Practice address

6015 Overland Rd
Suite 104
Boise, ID 83709-3014

Phone

(208) 991-0136

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Elaine Kuntz, LPC, NCCNPI 1932400124

Title

Owner/Counselor

Phone

(208) 991-0136

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Patricia Elaine Kuntz, M.S., LPC

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1932400124
  NPD (past) Authorized official

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1629349089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 OVERLAND RD",
            "address_2": "SUITE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093014",
            "telephone_number": "208-991-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 OVERLAND RD",
            "address_2": "SUITE 104",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093014",
            "telephone_number": "208-991-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "208-991-0136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lance Elden Bloom, O.D.
• Tia Bloom, PHARMD
• Fred Bloomquist, RRT
• Susan Leigh Blough, M.D.
• Blue Heron Dental
• Blue Hummingbird Counseling & Wellness LLC
• Blue Mountain Wellness Inc
• Blue Sage Counseling, LLC

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.