Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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 is a Mental Health Counselor 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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