Blossom Family Therapy PLLC
NPI 1679371058 · Community/Behavioral Health Agency · Huntersville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossom Family Therapy PLLC is a Community/Behavioral Health Agency organization in Huntersville, NC (NPI 1679371058).
Provider details
- NPI number
- 1679371058
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shacoya Ghraham, Owner(980) 297-8237
Specialties & taxonomies
Agencies
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Blossom Family Therapy PLLC's NPI number?
- Blossom Family Therapy PLLC's National Provider Identifier (NPI) is 1679371058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Family Therapy PLLC?
- Blossom Family Therapy PLLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Blossom Family Therapy PLLC located?
- Blossom Family Therapy PLLC's practice location on file with NPPES is 13420 Reese Blvd W, Huntersville, NC 28078-7925.
- What is Blossom Family Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Family Therapy PLLC is (980) 297-8237.
- Does Blossom Family Therapy PLLC accept Medicare?
- Blossom Family Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blossom Family Therapy PLLC?
- The authorized official listed on Blossom Family Therapy PLLC's NPPES record is Shacoya Ghraham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Family Therapy PLLC's NPI active?
- Yes — Blossom Family Therapy PLLC's NPI (1679371058) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.