Active NPI 1255825519 Individual Practitioner Female Practitioner

Sophia Blossom , LPC

Counselor - Professional • Bryan, TX

Professional Overview & Biography Verified Profile Summary

Sophia Blossom, LPC is a certified Counselor - Professional practicing in Bryan, TX. With approximately 5 years of clinical experience since completing medical education in 2021, Sophia Blossom delivers high-quality medical care to the local community at 7875 PROSPECT LN.

Sophia Blossom does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7875 Prospect Ln

Bryan, TX 778088790

Telephone 8325687522

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bryan, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

5 Yrs -9.4 yrs vs City Avg

City Avg: 14.4 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

81 Specialists

Practicing in Bryan, TX (21203 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blossom (5 Years) 5 Yrs

Bryan Specialty Average (14.4 Years) 14.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-16

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 76413

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location April 16, 2025

Registered at 7875 PROSPECT LN, BRYAN, TX 778088790 (Tel: 8325687522)

👤

Provider Name / Credentials Updated April 16, 2025

Recorded as SOPHIA BLOSSOM, LPC

📍

Updated Practice Location October 31, 2023

Registered at 527 SOUTHWEST PKWY APT 101, COLLEGE STATION, TX 778407142 (Tel: 8325687522)

📍

Updated Business Mailing Address October 31, 2023

Registered at 3708 E 29TH ST UNIT 347, BRYAN, TX 778023901 (Tel: 8325687522)

✅

NPI Profile Active June 20, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2018

Registered at 2400 OLD SOUTH DR APT 3222, RICHMOND, TX 774066664 (Tel: 9105542299)

📍

Updated Business Mailing Address June 20, 2018

Registered at 2400 OLD SOUTH DR APT 3222, RICHMOND, TX 774066664 (Tel: 9105542299)

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Provider Name / Credentials Updated June 20, 2018

Recorded as SOPHIA KORNEGAY, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2018

Counselor (License #76413 in TX)

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Initial NPI Registration & Enumeration June 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1255825519

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2018

Last Update: April 16, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3708 E 29th St Unit 347

Bryan, TX 778023901

Phone: 8325687522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.