BLOSSOM PROFESSIONAL CLINICAL COUNSELOR SERVICES, INC. - NPI 1588590731

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Blossom Professional Clinical Counselor Services, Inc. NPPES

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

BLOSSOM PROFESSIONAL CLINICAL COUNSELOR SERVICES, INC. (NPI 1588590731) is a healthcare organization registered as a mental health in Solana Beach, California and active in the NPI registry since June 2026. The organization lists Maxine Defank, Owner, as its authorized official.

NPPES Registry Identity

NPI1588590731

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameBLOSSOM PROFESSIONAL CLINICAL COUNSELOR SERVICES, INC.

Location Address201 LOMAS SANTA FE DR STE 490Solana Beach, CA 92075-1287

Mailing Address201 Lomas Santa Fe Dr Ste 490Solana Beach, CA 92075-1287

Phone(850) 564-6130

Organization SubpartNo

Authorized OfficialMaxine DefankOwner · (850) 564-6130

Enumeration DateJune 23, 2026

Last NPPES UpdateJuly 3, 2026

NPPES CertifiedJuly 3, 2026

✔ NPI 1588590731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

201 LOMAS SANTA FE DR STE 490, Solana Beach, CA 92075

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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 5

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

THOMAS DEARBORN LMFT

Marriage & Family Therapist