Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophia Blossom, LPC

Individual provider Professional Counselor · NPI 1255825519

Sophia Blossom, LPC is a Mental Health Counselor in Bryan, Texas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

7875 Prospect Ln
Bryan, TX 77808-8790
Phone: (832) 568-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 76413 (TX)

Record details

NPI number1255825519
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 20, 2018
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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