IndividualActive
Jennah Kay Blossom, MC61053752
NPI 1124638010 · Mental Health Counselor · Spokane, WA
Provider details
- NPI number
- 1124638010
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MC61053752
- Sex
- Female
- Sole proprietor
- No
- License
- MC61053752 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 W College Ave
Spokane, WA 99201-2010
Phone: (509) 324-1471
Street-level locationGet directions
Mailing address
4211 S Miami St
Spokane, WA 99223-6142
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.