Blossom Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOSSOM THERAPY LLC

Doing business as

Blossom Therapy DBA

Practice address

3811 Bee Caves Rd Ste 204
West Lake Hills, TX 78746-6459

Phone

(512) 350-1707

NPI assigned

Oct 30, 2019

Last updated

Oct 30, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BLOSSOM THERAPY DBAAs reported in NPPES

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

Authorized official

Name

Wenndy I Contreras, LPC

Title

Owner/Therapist

Phone

(512) 350-1707

Specialties & licenses 1

Addresses

Other names 1

• Blossom Therapy DBA Doing business as

Electronic endpoints 1

Tax ID family

Blossom Therapy Dba2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Focused & Confident Counseling PLLC

  • Mental Health Counselor
  • West Lake Hills, TX
  • NPI 1437972676
  NPD tax ID

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.

• Wendy Isaura Contreras, LPC

  • Professional Counselor
  • Austin, TX
  • NPI 1558757542
  NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1710521026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 WILD ROSE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BEE CAVES RD STE 204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466459",
            "telephone_number": "512-350-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOSSOM THERAPY DBA",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "WENNDY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "512-350-1707",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "3811 Bee Caves Rd Ste 204",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blossom Therapy DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirela Bitkowski
• Elise Bjork, PT, DPT, CSCS
• Nazli Khorrami Blackwell
• Marissa Blankenship, LCSW
• Dinara Blomberg
• Emily L. Blouin, LPC
• Bluebonnet Diabetes & Endocrinology PLLC
• Bluestone Psychology Center, LLC
• Amelia Hope Blumenfeld, LPC-A
• Mary H Boone, LCSW, LCDC

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.