Blossom Well
Blossom Well is a healthcare organization registered as Early Intervention Provider Agency in Chicago, IL, holding Type 2 (organization) NPI 1750122198 since 2024. The authorized official on file is Tiffany Lewis, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750122198 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blossom Well |
| Practice address | 142 W 62ND ST, Chicago, IL, 60621 |
| Phone | 7086321090 |
| Enumeration date | 2024-05-31 |
| Last updated in NPPES | 2024-07-06 |
Authorized official
| Name | Tiffany Lewis |
|---|---|
| Title | Owner |
| Phone | 7086321090 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 171R00000X | Interpreter | Secondary | — | — |
| 252Y00000X | Early Intervention Provider Agency | Primary | — | — |
Copy-ready billing details
Provider: Blossom Well NPI: 1750122198 Taxonomy: 252Y00000X (Early Intervention Provider Agency) Address: 142 W 62ND ST, Chicago, IL, 60621
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619784949 | Shriya Gandhi-Kamat | Individual | Mental Health Counselor | Chicago, IL |
| 1104785013 | Ashley Corbett | Individual | Counselor | Chicago, IL |
| 1740127059 | Ranosha Hall | Individual | Social Worker | Chicago, IL |
Verify this record
Cross-check NPI 1750122198 against the authoritative CMS record: view Blossom Well 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 is the NPI number for Blossom Well?
Who is the authorized official for Blossom Well?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-06.