BLOSSOMING MINDS INC (NPI# 1992304554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992304554 |
| Entity Type | Organization |
| Organization Name | BLOSSOMING MINDS INC |
| Practice Address |
4724 Vine St Cincinnati OH 45217-1254 |
| Practice Telephone | 5134269951 |
| Mailing Telephone | 5134269951 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | DR. KESHA BLUNT WILLIAMS (CEO) |
| Authorized Official Telephone | 5136429951 |
| Authorized Official Credential | PHD, LSW, LCDCII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4724 VINE ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45217-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029641 | Kesha Blunt-williams | Social Worker | 4724 Vine St, Cincinnati, OH 45217-1254 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376034017 | Dorian D Adams | Behavior Technician | 7711 Joseph Street, Cincinnati, OH 45217 | 2018-05-29 |
| 1558740233 | Jennifer Stuart | Contractor | 105 Wasginton Ave., St. Bernard, OH 45217 | 2015-05-27 |
| 1295079069 | Therese Marie Byrd | Home Health Aide | 40 Baker Avenue, Cincinnati, OH 45217 | 2012-11-19 |
| 1003177007 | Shannon Deuprey Turner | Adult Companion | 32 Kessler Pl, Cincinnati, OH 45217 | 2012-06-06 |
| 1215158381 | Carol M. Colyer | Pharmacist | 6550 Harrison Ave., Cincinnati, OH 45217 | 2007-05-02 |
| 1679677744 | Donna Boyd Cobbah | Social Worker | 3200 Vine St., Department of Veterans Affairs Va Medical Center, Cincinnati, OH 45217 | 2006-09-11 |
| 1750620670 | Donald Bruce Kirchner | Preventive Medicine | 5299 Spring Grove Ave, Cincinnati, OH 45217-1025 | 2013-02-13 |
| 1821130899 | Jeffery A Carpenter | Chiropractor | 4711 Vine St, Cincinnati, OH 45217-1234 | 2007-02-13 |
| 1295209930 | Meaghan Elizabeth White | Social Worker | 4711 Vine St, Cincinnati, OH 45217-1234 | 2019-01-16 |
| 1043449580 | St Bernard Chiropractic | Chiropractor | 4711 Vine St, Cincinnati, OH 45217-1234 | 2009-07-06 |
| Find all providers in zip 45217 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1730729369 | Tyler Issac Mitchell | Counselor | 1978 Garden Ln Apt 3, Cincinnati, OH 45237-6045 | 2020-01-12 |
| 1073151841 | Ibrahim Kakish | Counselor | 1425 W Kemper Rd, Cincinnati, OH 45240-1630 | 2019-12-12 |
| 1053971705 | Pamela Strickland Quarles | Counselor | 47 E Hollister St Ste 102, Cincinnati, OH 45219-1840 | 2019-06-15 |
| 1386124980 | Tommie Maria Johnson | Counselor | 4531 Reading Rd Fl 2, Cincinnati, OH 45229-1229 | 2018-08-14 |
| 1194210120 | Viann Barnett | Counselor | 2401 Reading Rd, Cincinnati, OH 45202-1357 | 2018-06-22 |
| 1720595226 | Renee Johnson | Counselor | 9304 Bluegate Dr, Cincinnati, OH 45231-3331 | 2018-01-05 |
| 1891200689 | Lauren White | Counselor | 3129 Spring Grove Ave, Cincinnati, OH 45225-1821 | 2017-12-03 |
| 1912419730 | Nikita Bianca Brown | Counselor | 1748 Berkley Ave, Cincinnati, OH 45237-6114 | 2017-11-02 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45217 |
Please comment or provide details below to improve the information on BLOSSOMING MINDS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.