Blossoming Lotus Therapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOSSOMING LOTUS THERAPY LCSW PLLC

Practice address

145 Sunrise Hwy Ste 7
Lindenhurst, NY 11757-2500

Phone

(516) 254-9201

NPI assigned

Aug 17, 2021

Last updated

Mar 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica M Hardial, MA, LCSW, PHD(C)NPI 1366893240

Title

Ceo

Phone

(516) 254-9201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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.

• Jessica Maria Hardial, LCSW

  • Clinical Social Worker
  • Lindenhurst, NY
  • NPI 1366893240
  NPD Authorized official
• Shannon Burke, LCAT

  • Art Therapist
  • Lindenhurst, NY
  • NPI 1528946712
  NPD
• Remy Ayo

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1689455198
  NPD (past)
• Marisa Dos Santos, LCSW

  • Clinical Social Worker
  • Lindenhurst, NY
  • NPI 1609243278
  NPD (past)
• Leslie Marie Portillo, MA, LCAT, ATR-BC

  • Art Therapist
  • Greenlawn, NY
  • NPI 1689311953
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1720754245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SUNRISE HWY STE 7",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572500",
            "telephone_number": "516-254-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNRISE HWY STE 7",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572500",
            "telephone_number": "516-254-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Franklin Ave Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302927",
            "country_code": "US",
            "telephone_number": "516-254-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOMING LOTUS THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "HARDIAL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-254-9201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCSW, PHD(C)"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366893240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bikram, RPA-C
• Rose Blaise
• Amalia C. Blake, MS.ED
• Blessed Healthcare and Staffing Agency
• Dominique Dorothy Block, NP
• Blue PT Physical Therapy PLLC
• Caroline A. Boettcher, PSY.D.
• Jorge Bonilla, M.D
• Lindsey Garcia Borges, MA, BCBA, LBA
• Nicole M Borgesano, LMT

• Clinical Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.