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THE BLOSSOM COUNSELING CENTER FOR PERSONAL GROWTH AND DEVELOPMENT LLC
NPI 1942169040
Counselor - Mental Health in Grand Rapids, MI

Active since January 15, 2026
4829 E BELTLINE AVE NE STE 101, GRAND RAPIDS, MI 49525(616) 284-1138 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Blossom Counseling Center For Personal Growth And Development Llc NPPES

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

THE BLOSSOM COUNSELING CENTER FOR PERSONAL GROWTH AND DEVELOPMENT LLC (NPI 1942169040) is a healthcare organization registered as a mental health in Grand Rapids, Michigan and active in the NPI registry since January 2026. The organization lists Shayne Delana Mcnichols, Therapist, as its authorized official.

NPPES Registry Identity

NPI1942169040
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHE BLOSSOM COUNSELING CENTER FOR PERSONAL GROWTH AND DEVELOPMENT LLC
Location Address4829 E BELTLINE AVE NE STE 101Grand Rapids, MI 49525-9349
Mailing Address5110 28th St Se # 1145Grand Rapids, MI 49512-2049 · (616) 284-1138
Phone(616) 284-1138
Organization SubpartNo
Authorized OfficialShayne Delana McnicholsTherapist · (616) 284-1138
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1942169040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4829 E BELTLINE AVE NE STE 101, Grand Rapids, MI 49525
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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.

AMANDA BROWN LMSW
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Kent County (616) 951-3233
CAITLIN SEARFOSS OLIVER LMSW
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Kent County (616) 209-8215
ALMANZA THERAPY SOLUTIONS
Social Worker
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Kent County (616) 263-6172
ELISE WAUGH
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Kent County (312) 833-0565
COLBY AUSTIN-JOHNSON WHITAKER
Social Worker (Clinical)
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525
Kent County (616) 209-8215

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 The Blossom Counseling Center For Personal Growth And Development LLC's NPI number?

The NPI number for The Blossom Counseling Center For Personal Growth And Development LLC is 1942169040. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is The Blossom Counseling Center For Personal Growth And Development LLC located?

The Blossom Counseling Center For Personal Growth And Development LLC is located at 4829 E Beltline Ave NE Ste 101, Grand Rapids, MI 49525. The listed phone number is (616) 284-1138.

What is The Blossom Counseling Center For Personal Growth And Development LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for The Blossom Counseling Center For Personal Growth And Development LLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.