Organization Active NPI

Blossoming Essence Counseling Coaching & Consulting

  • Community/Behavioral Health Agency
  • Alachua, FL
National Provider Identifier
1780287425
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Marquetta Lee, LCSWNPI 1467917864
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1467917864OtherFLNPI

Other names 1

  • Blossoming Essence Counseling & Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.