Organization Active NPI

Blossom Behavioral Health Services

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1891692901
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLOSSOM BEHAVIORAL HEALTH SERVICES
Practice address
4843 Glenway Ave
Cincinnati, OH 45238-4456
Phone
(513) 801-5141
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Mrs. Ebony YatesNPI 1144015611
Title
Administrator
Phone
(513) 801-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4843 Glenway Ave
Cincinnati, OH 45238-4456

Mailing address

4841 Glenway Ave
Cincinnati, OH 45238-4456

National Provider Directory

National Provider Directory

Locations

4841 Glenway Ave
Cincinnati, OH 45238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1891692901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384456",
            "telephone_number": "513-801-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-801-5141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.