Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

The Blossom Counseling Center for Personal Growth and Development LLC

Organization Mental Health Counselor · NPI 1942169040

The Blossom Counseling Center for Personal Growth and Development LLC provides Mental Health Counselor services in Grand Rapids, Michigan. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4829 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-9349
Phone: (616) 284-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1942169040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shayne McNichols — Therapist · (616) 284-1138
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address5110 28th St Se # 1145, Grand Rapids, MI 49512-2049

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