Blossoming Minds Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BLOSSOMING MINDS INC

Practice address

4724 Vine St
Cincinnati, OH 45217-1254

Phone

(513) 642-9951

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kesha Blunt Williams, PHD, LSW, LCDCIIINPI 1487029641

Title

Ceo

Phone

(513) 642-9951

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.

• Kesha Blunt-Williams, LSW, CA-CYFSW

  • Social Worker
  • Cincinnati, OH
  • NPI 1487029641
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1992304554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171254",
            "telephone_number": "513-642-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452171254",
            "telephone_number": "513-642-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING MINDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BLUNT WILLIAMS",
        "authorized_official_first_name": "KESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-642-9951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LSW, LCDCIII"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christi Blough
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• Blue Ash Care Center LLC
• Blue Ash Endoscopy Center, LLC

• Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.