Blooming Lotus LLC
Blooming Lotus LLC is a healthcare organization registered as Psychiatry Physician in Beaumont, TX, holding Type 2 (organization) NPI 1093304925 since 2021. The authorized official on file is Jason Mensah, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093304925 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blooming Lotus LLC |
| Practice address | 3560 DELAWARE ST STE 209, Beaumont, TX, 77706 |
| Phone | 4092390971 |
| Fax | 4092922100 |
| Enumeration date | 2021-01-14 |
| Last updated in NPPES | 2021-01-14 |
Authorized official
| Name | Jason Mensah |
|---|---|
| Title | Owner |
| Phone | 4092917616 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | Secondary | — | — |
| 167G00000X | Licensed Psychiatric Technician | Secondary | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | Secondary | — | — |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Copy-ready billing details
Provider: Blooming Lotus LLC NPI: 1093304925 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 3560 DELAWARE ST STE 209, Beaumont, TX, 77706
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841296019 | George Aydelott | Individual | Diagnostic Radiology Physician | Beaumont, TX |
| 1710935598 | Sandy Thwin | Individual | Diagnostic Radiology Physician | Beaumont, TX |
| 1871527028 | Prasad Devabhaktuni | Individual | Diagnostic Radiology Physician | Beaumont, TX |
| 1255347340 | Raleigh Johnson | Individual | Diagnostic Radiology Physician | Beaumont, TX |
| 1417041237 | Daniel Karnicki | Individual | Diagnostic Radiology Physician | Beaumont, TX |
| 1184888638 | Jasper Radiology Associates PC | Organization | Diagnostic Radiology Physician | Beaumont, TX |
| 1871818740 | Ankitkumar Shah | Individual | Vascular & Interventional Radiology Physician | Beaumont, TX |
Verify this record
Cross-check NPI 1093304925 against the authoritative CMS record: view Blooming Lotus LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Blooming Lotus LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-14.