Active NPI
Blossoming Essence Counseling Coaching & Consulting
- Community/Behavioral Health Agency
- Alachua, FL
National Provider Identifier
1780287425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BLOSSOMING ESSENCE COUNSELING COACHING & CONSULTING
- Practice address
- 15202 NW 147TH Dr Ste 1200
#176
Alachua, FL 32615-5336 - Phone
- (352) 672-1214
- NPI assigned
- Nov 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquetta Lee, LCSW
- Title
- Managing Owner
- Phone
- (352) 672-1214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
15202 NW 147TH Dr Ste 1200
#176
Alachua, FL 32615-5336
Mailing address
15202 NW 147TH Dr Ste 1200
Alachua, FL 32615-5336
Phone (352) 672-1214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467917864 | Other | FL | NPI |
Other names 1
- Blossoming Essence Counseling & Consulting
National Provider Directory
National Provider DirectoryLocations
15202 NW 147th Dr
Ste 1200
Alachua, FL 32615
Phone (352) 672-1214
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Gainesville, FL
- NPI 1467917864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605571200000",
"number": "1780287425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15202 NW 147TH DR STE 1200",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326155336",
"telephone_number": "352-672-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15202 NW 147TH DR STE 1200",
"address_2": "#176",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326155336",
"telephone_number": "352-672-1214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOMING ESSENCE COUNSELING COACHING & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "MARQUETTA",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "352-672-1214",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1467917864",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blossoming Essence Counseling & Consulting",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.