BLOSSOM FAMILY THERAPY PLLC
NPI 1679371058
Community/Behavioral Health in Huntersville, NC
About Blossom Family Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM FAMILY THERAPY PLLC (NPI 1679371058) is a healthcare organization registered as a community/behavioral health in Huntersville, North Carolina and active in the NPI registry since March 2025. The organization lists Shacoya Ghraham, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
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 Family Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Blossom Family Therapy PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Family Therapy PLLC's NPI number?
The NPI number for Blossom Family Therapy PLLC is 1679371058. It was assigned to this organization in the NPPES registry on March 3, 2025.
Where is Blossom Family Therapy PLLC located?
Blossom Family Therapy PLLC is located at 13420 Reese Blvd W, Huntersville, NC 28078. The listed phone number is (980) 297-8237.
What is Blossom Family Therapy PLLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Blossom Family Therapy PLLC enrolled in Medicare?
Yes. Blossom Family Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blossom Family Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Blossom Family Therapy PLLC, in Clinical Social Worker, Marriage and Family Therapist and Mental Health Counselor. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blossom Family Therapy PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Blossom Family Therapy PLLC 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 Blossom Family Therapy PLLC was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Blossom Family Therapy Pllc · NPI 1679371058
Community/Behavioral Health organization in Huntersville, North Carolina. Organization record, active in the CMS NPPES registry since March 3, 2025.
## Identity
- **NPI:** 1679371058 (Entity type: Organization)
- **Enumerated:** March 3, 2025
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Shacoya Ghraham, OWNER
## Practice location
- **Address:** 13420 REESE BLVD W, Huntersville, NC 28078-7925
- **Phone:** (980) 297-8237 · **Fax:** (704) 887-9496
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (2), Clinical Social Worker (1), Mental Health Counselor (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679371058) · Data from the CMS NPPES public registry.