BLISSFUL INTENTIONS LLC
NPI 1144079765
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ
About Blissful Intentions Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLISSFUL INTENTIONS LLC (NPI 1144079765) is a healthcare organization registered as a psychiatric/mental health in Toms River, New Jersey and active in the NPI registry since May 2024. The organization lists Khadija Fofana, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blissful Intentions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blissful Intentions LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blissful Intentions LLC's NPI number?
The NPI number for Blissful Intentions LLC is 1144079765. It was assigned to this organization in the NPPES registry on May 15, 2024.
Where is Blissful Intentions LLC located?
Blissful Intentions LLC is located at 1691 U.S. 9, Toms River, NJ 08753. The listed phone number is (717) 341-8790.
What is Blissful Intentions LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Blissful Intentions LLC enrolled in Medicare?
Yes. Blissful Intentions LLC is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Blissful Intentions LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blissful Intentions Llc · NPI 1144079765
Psychiatric/Mental Health organization in Toms River, New Jersey. Organization record, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1144079765 (Entity type: Organization)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Khadija Fofana, OWNER
## Practice location
- **Address:** 1691 U.S. 9, Toms River, NJ 08753
- **Phone:** (717) 341-8790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144079765) · Data from the CMS NPPES public registry.