BLOSSOM WELLNESS SPA INC
NPI 1336858869
Marriage & Family Therapist in Los Angeles, CA
About Blossom Wellness Spa Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM WELLNESS SPA INC (NPI 1336858869), doing business as Blossom Wellness Counseling, is a healthcare organization registered as a marriage & family therapist in Los Angeles, California and active in the NPI registry since November 2022. The organization lists Jeanne Prinzivalli, President/owner/lmft, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blossom Wellness Spa Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Blossom Wellness Spa Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Blossom Wellness Spa Inc's NPI number?
The NPI number for Blossom Wellness Spa Inc is 1336858869. It was assigned to this organization in the NPPES registry on November 23, 2022. The provider is doing business as Blossom Wellness Counseling and Self Care Continuum.
Where is Blossom Wellness Spa Inc located?
Blossom Wellness Spa Inc is located at 10642 Santa Monica Blvd Apt 209, Los Angeles, CA 90025. The listed phone number is (323) 879-7809.
What is Blossom Wellness Spa Inc's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Blossom Wellness Spa Inc enrolled in Medicare?
Yes. Blossom Wellness Spa Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blossom Wellness Spa Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Blossom Wellness Spa Inc. A 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 the clinician's services. The largest specialties are Marriage and Family Therapist (8) and Mental Health Counselor (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blossom Wellness Spa Inc was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Blossom Wellness Spa Inc · NPI 1336858869
Marriage & Family Therapist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 23, 2022.
## Identity
- **NPI:** 1336858869 (Entity type: Organization)
- **Enumerated:** November 23, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Also known as:** Blossom Wellness Counseling (Doing Business As); Self Care Continuum (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jeanne Prinzivalli, PRESIDENT/OWNER/LMFT
## Practice location
- **Address:** 10642 SANTA MONICA BLVD APT 209, Los Angeles, CA 90025-4850
- **Phone:** (323) 879-7809 · **Fax:** (323) 879-3899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (8), Mental Health Counselor (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336858869) · Data from the CMS NPPES public registry.