OrganizationActive
Blossom Towne Enterprises
NPI 1336301894 · Psychologist · Lake Elmo, MN
Blossom Towne Enterprises is a Psychologist organization in Lake Elmo, MN (NPI 1336301894).
Provider details
- NPI number
- 1336301894
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sharon Blossom, President(651) 264-0444
- License
- LP-1196 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
8615 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone: (651) 264-0444
Fax: (651) 264-0447
Approximate (ZIP-level) locationGet directions
Mailing address
8615 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Other names (DBA / former)
- Doing business as
- Illuminate
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2008-06-26
Frequently asked questions
- What is Blossom Towne Enterprises's NPI number?
- Blossom Towne Enterprises's National Provider Identifier (NPI) is 1336301894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Towne Enterprises?
- Blossom Towne Enterprises is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Blossom Towne Enterprises located?
- Blossom Towne Enterprises's practice location on file with NPPES is 8615 Eagle Point Blvd, Lake Elmo, MN 55042-8628.
- What is Blossom Towne Enterprises's phone number?
- The practice phone number listed in the NPPES registry for Blossom Towne Enterprises is (651) 264-0444.
- Who is the authorized official for Blossom Towne Enterprises?
- The authorized official listed on Blossom Towne Enterprises's NPPES record is Sharon Blossom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Towne Enterprises's NPI active?
- Yes — Blossom Towne Enterprises's NPI (1336301894) is active in the NPPES registry as of the last update on 2008-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.