IndividualActive
Larry Blossom, M.A.
NPI 1366503138 · Professional Counselor · Pueblo, CO
Larry Blossom, M.A. is a Professional Counselor provider in Pueblo, CO (NPI 1366503138).
Provider details
- NPI number
- 1366503138
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0701002333 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
611 S Union Ave Apt a
Pueblo, CO 81004-2250
Phone: (719) 696-4252
Street-level locationGet directions
Mailing address
3225 Independence Rd
Canon City, CO 81212-9380
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-04-19
- Certified
- 2022-04-19
Frequently asked questions
- What is Larry Blossom's NPI number?
- Larry Blossom's National Provider Identifier (NPI) is 1366503138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Blossom's specialty?
- Larry Blossom is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Larry Blossom located?
- Larry Blossom's practice location on file with NPPES is 611 S Union Ave Apt a, Pueblo, CO 81004-2250.
- What is Larry Blossom's phone number?
- The practice phone number listed in the NPPES registry for Larry Blossom is (719) 696-4252.
- Is Larry Blossom's NPI active?
- Yes — Larry Blossom's NPI (1366503138) is active in the NPPES registry as of the last update on 2022-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.