Bloom and Blossom Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM AND BLOSSOM SPEECH THERAPY, PLLC

Practice address

1609 Windward PT
Champaign, IL 61821-6962

Phone

(217) 994-1615

NPI assigned

Mar 23, 2026

Organization subpart

No

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

Authorized official

Name

Brittany Booth, SLP

Title

Owner

Phone

(217) 994-1615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1962340059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WINDWARD PT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216962",
            "telephone_number": "217-994-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 WINDWARD PT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216962",
            "telephone_number": "217-994-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM AND BLOSSOM SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-994-1615",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Blanchard
• Richard Blanks, M.D.
• Billie Jo Blanton, BS
• Debra Lynn Bliss, OTR-L
• Weimin Grace Blocher
• Camden Blowers
• Jamie Kading Blue, MD
• Twila Blum, RN, IBCLC
• Board of Trustees of the University of Illinois
• Shauna Boatright, LCSW

• Speech-Language Pathologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.