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SOPHIA BLOSSOM LPC
NPI 1255825519
Counselor - Professional in Bryan, TX

Active since June 20, 2018PECOS Enrolled
7875 PROSPECT LN, BRYAN, TX 77808(832) 568-7522 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2023, Jun 20, 2018 (2 updates tracked since 2018).

About Sophia Blossom Lpc NPPES

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

SOPHIA BLOSSOM LPC (NPI 1255825519) is an individual professional provider in Bryan, Texas, licensed in Texas (76413) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255825519
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSOPHIA BLOSSOMCredential: LPC
Location Address7875 PROSPECT LNBryan, TX 77808-8790
Mailing Address3708 E 29th St Unit 347Bryan, TX 77802-3901 · (832) 568-7522
Phone(832) 568-7522
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 20, 2018
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1255825519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 76413
7875 PROSPECT LN, Bryan, TX 77808
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Blossom Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991274425
PECOS Enrollment IDI20260514001267
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sophia Blossom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David M. Dranetz, M.D., P.L.L.C.
9.6 mi
Psychiatry
3322 LONGMIRE DR STE 100
College Station, TX 77845
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: David M. Dranetz, M.D., PLLC
  • 2 clinicians in this Medicare group
NPI 1295263598 (979) 200-2043

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 Sophia Blossom's NPI number?

The NPI number for Sophia Blossom is 1255825519. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Sophia Blossom located?

Sophia Blossom practices at 7875 Prospect Ln, Bryan, TX 77808. The listed phone number is (832) 568-7522.

What is Sophia Blossom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sophia Blossom enrolled in Medicare?

Yes. Sophia Blossom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Blossom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Blossom reassigns Medicare benefits to David M. Dranetz, M.D., P.L.L.C. (College Station, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Blossom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Blossom accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Moda Health Plan, Inc. and UnitedHealthcare list Sophia Blossom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Blossom was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.