Active NPI
Flourish Counseling and Wellness Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
National Provider Identifier
1023624780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FLOURISH COUNSELING AND WELLNESS CENTER
- Practice address
- 8401 NE Halsey St Ste 107
Portland, OR 97220-5670 - Phone
- (971) 401-7119
- NPI assigned
- Sep 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachael Alexis Jackson, MSW, LCSW
- Title
- Therapist/Owner
- Phone
- (503) 998-3584
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8401 NE Halsey St Ste 107
Portland, OR 97220-5670
Mailing address
8401 NE Halsey St Ste 107
Portland, OR 97220-5670
Phone (503) 998-3584
Other names 1
- Flourish Counseling and Wellness
National Provider Directory
National Provider DirectoryLocations
8401 NE Halsey St
Ste 107
Portland, OR 97220
Phone (503) 998-3584
7640 NE Airport Way
Unit 55701
Portland, OR 97238
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1285992628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1023624780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "503-998-3584",
"fax_number": "503-974-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 NE HALSEY ST STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205670",
"telephone_number": "971-401-7119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH COUNSELING AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "RACHAEL",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "503-998-3584",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flourish Counseling and Wellness",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Flourish Counseling and Wellness",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.