BLOSSOM SERVICES GROUP LLC
NPI 1104790989
Psychologist - Intellectual and Developmental Disabilities in West Fargo, ND

Q: What is Blossom Services Group LLC's NPI number?

The NPI number for Blossom Services Group LLC is 1104790989. It was assigned to this organization in the NPPES registry on October 3, 2025.

Q: What is Blossom Services Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Active since October 03, 2025

1042 14TH AVE E STE 210, WEST FARGO, ND 58078(701) 541-9884 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Blossom Services Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM SERVICES GROUP LLC (NPI 1104790989) is a healthcare organization registered as an intellectual and developmental disabilities in West Fargo, North Dakota and active in the NPI registry since October 2025. The organization lists Sahr Thomas, Founder/owner, as its authorized official.

NPPES Registry Identity

NPI1104790989

Entity TypeOrganization

Primary Taxonomy103TM1800X

Legal Business NameBLOSSOM SERVICES GROUP LLC

Location Address1042 14TH AVE E STE 210West Fargo, ND 58078-3363

Mailing Address2046 Ruttan CtWest Fargo, ND 58078-4258 · (701) 541-9884

Phone(701) 541-9884

Organization SubpartNo

Authorized OfficialSahr ThomasFounder/owner · (701) 541-8884

Enumeration DateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1104790989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

1042 14TH AVE E STE 210, West Fargo, ND 58078

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY N BRAUN COUNSELING LLC

Clinic/Center

1042 14TH AVE E STE 210
WEST FARGO, ND 58078

Cass County (701) 799-6258

GRACE MOBILITY LLC

Non-emergency Medical Transport (VAN)

1042 14TH AVE E STE 210
WEST FARGO, ND 58078

Cass County (701) 532-0535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Services Group LLC's NPI number?

The NPI number for Blossom Services Group LLC is 1104790989. It was assigned to this organization in the NPPES registry on October 3, 2025.

Where is Blossom Services Group LLC located?

Blossom Services Group LLC is located at 1042 14th Ave E Ste 210, West Fargo, ND 58078. The listed phone number is (701) 541-9884.

What is Blossom Services Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Blossom Services Group LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.