Blossom Counseling and Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLOSSOM COUNSELING AND WELLNESS LLC

Practice address

149B Creekside LN
Winchester, VA 22602-2447

Phone

(540) 486-0321

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Tracy Knight, LPCNPI 1932783198

Title

Manager/Counselor

Phone

(540) 486-0321

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Tracy Anne Knight, LPC

  • Professional Counselor
  • Winchester, VA
  • NPI 1932783198
  NPD Authorized official

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1699412296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MORLYN DR",
            "city": "STEPHENSON",
            "state": "VA",
            "postal_code": "226562221",
            "telephone_number": "540-486-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149B CREEKSIDE LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226022447",
            "telephone_number": "540-486-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER/COUNSELOR",
        "authorized_official_telephone_number": "540-486-0321",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932783198",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tknight@blossomcounseling.net",
            "affiliation": "N",
            "address_1": "149B Creekside Ln",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226022447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Godwin Blansett, MD
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• Justin Russell Bloomer
• Trey Bloomfield
• Shelby Bloomquist
• Blossom Physician Services, LLC
• Blue Ridge Behavioral Consulting
• Blue Ridge Counseling Center, PLC
• Blue Ridge Eye Specialists PC
• Blue Ridge Eye Specialists PC

• Professional Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.