Blooming Lotus Counseling, LLC

Primary specialty

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

Legal business name

BLOOMING LOTUS COUNSELING, LLC

Practice address

9365 US Highway 19 N Ste B
Pinellas Park, FL 33782-5400

Phone

(727) 470-8003

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Campbell, LMHCNPI 1053808204

Title

Owner

Phone

(727) 470-8003

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Stephanie Campbell, LMHC

  • Mental Health Counselor
  • Largo, FL
  • NPI 1053808204
  NPD (past) Authorized official

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1841767290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 WALSINGHAM RD UNIT 127",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743237",
            "telephone_number": "727-470-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 US HIGHWAY 19 N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825400",
            "telephone_number": "727-470-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING LOTUS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-470-8003",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Blair, RBT
• David Blakemore, PA-C
• Betty Blanco, DT
• Zoe Marie Blankenship
• David A Bloom, M.D., PH.D.
• Blue Dragon Healing Center
• Kristine Nicole Bodine, DPT
• Body Holistics Inc
• Kasie Boehm
• Meagan Bohne

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.