NPIMap

Organization Active NPI

Blossom Counseling Online

  • Mental Health Counselor
  • Collegeville, PA
National Provider Identifier
1760179980
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOSSOM COUNSELING ONLINE
Practice address
555 Second Ave Ste B-300
Collegeville, PA 19426-3636
Phone
(484) 938-8461
NPI assigned
Apr 18, 2023
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Keiko Wolfe
Title
Owner
Phone
(484) 948-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

555 Second Ave Ste B-300
Collegeville, PA 19426-3636

Mailing address

555 Second Ave Ste B-300
Collegeville, PA 19426-3636
Phone (484) 938-8461

National Provider Directory

National Provider Directory

Locations

555 Second Ave
Ste B-300
Collegeville, PA 19426
Phone (484) 938-8461

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1760179980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE B-300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263636",
            "telephone_number": "484-938-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE B-300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263636",
            "telephone_number": "484-938-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING ONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-948-8861"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.