Organization Active NPI

Blossom Partnership LLC

  • Mental Health Counselor
  • Dayton, NJ
National Provider Identifier
1972469336
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLOSSOM PARTNERSHIP LLC
Practice address
610 Blossom Cir
Dayton, NJ 08810-2407
Phone
(609) 200-5772
NPI assigned
Dec 30, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Austin MistrettaNPI 1861222721
Title
Co-Owner
Phone
(201) 400-5902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

610 Blossom Cir
Dayton, NJ 08810-2407

Mailing address

174 Nassau St
PO Box 275
Princeton, NJ 08542-7005

National Provider Directory

National Provider Directory

Locations

174 Nassau St
Princeton, NJ 08542
Phone (917) 488-4482

Practitioners & affiliated clinicians

Practitioners 2

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": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1972469336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 NASSAU ST",
            "address_2": "PO BOX 275",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085427005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BLOSSOM CIR",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088102407",
            "telephone_number": "609-200-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "MISTRETTA",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-400-5902"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.