BLOSSOM COUNSELING SERVICES – NPI #1538725205
Clinic/Center

BLOSSOM COUNSELING SERVICES is an AHC clinic located in SOUTHAMPTON, NY. NPPES has assigned the NPI number 1538725205 to BLOSSOM COUNSELING SERVICES on May 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on May 30, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOSSOM COUNSELING SERVICES below.

NPI Profile for
BLOSSOM COUNSELING SERVICES

NPI Number
1538725205
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOSSOM COUNSELING SERVICES
Primary location
61 MAIN ST
SOUTHAMPTON, NY 11968-4870
Phone: (631) 343-5634 Fax:
Mailing address
26 HILL ST STE 114
SOUTHAMPTON, NY 11968-5317
Phone: Fax:
Organization Subpart
No
Authorized Official
AIYANA SMITH
OWENR
Phone: (631) 343-5634
Updated
Certification Date
May 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.