Blossom Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOSSOM THERAPY LLC

Practice address

320 11TH Ave S Ste 204
Nampa, ID 83651-5074

Phone

(208) 614-0908

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Autumn Isaiah Pierce, LCPCNPI 1497445779

Title

Owner

Phone

(208) 614-0908

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.

• Autumn Pierce, PCLC

  • Mental Health Counselor
  • Helena, MT
  • NPI 1497445779
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1801649264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SUNNYBROOK DR APT 304",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866471",
            "telephone_number": "208-614-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S STE 204",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515074",
            "telephone_number": "208-614-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-614-0908",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Janine Blake
• Amanda Rose Bledsoe, FNP-C
• Olivia Nilda Blom
• Bloom Coordination, LLC
• Bloom Idaho LLC
• Blue Birds Specialty Services LLC
• Blue Sky Behavioral Health
• Benjamin Joseph Bobo, PHARMD
• Amber Bock, PAC
• Sol H Bockelie, MD

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.