Blossom Therapeutic Services, LLC

Primary specialty

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

Legal business name

BLOSSOM THERAPEUTIC SERVICES, LLC

Practice address

1800 Briarcliff Rd
Richmond, VA 23225-2306

Phone

(804) 477-2518

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Laura Ailene Pearson, LCSWNPI 1609564517

Title

Owner

Phone

(804) 477-2518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Ailene Pearson, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1609564517
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1780373373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BUFORD RD # 253",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRIARCLIFF RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252306",
            "telephone_number": "804-477-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "AILENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-477-2518",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom in Wellness LLC
• Benjamin Jacob Bloom
• Douglass Robert Bloomfield, PH.D.
• Blooming Generations LLC
• Jonathan Blosser, PT, DPT
• Christina Pacileo Blottner, NP
• Minna Catherine Nhu Blottner, MD
• David Bruce Blount, PT, DPT
• Tonica Nicole Blow, LPN
• Shawna Marie Blowe, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.